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Conference Paper: Surgical complications and outcome of pediatric liver transplantation in Hong Kong

TitleSurgical complications and outcome of pediatric liver transplantation in Hong Kong
Authors
KeywordsComplications of liver transplantation
Living donor liver transplant
Pediatric liver transplant
Reduced-size liver transplant
Issue Date2002
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
The 35th Annual Meeting of the Pacific Association of Pediatric Surgeons, La Jolla, CA., 12-16 May 2002. In Journal of Pediatric Surgery, 2002, v. 37 n. 12, p. 1673-1677 How to Cite?
AbstractPurpose: The aim of this study was to analyze the early and late results of pediatric liver transplantation, with particular reference to complications that required surgical or radiologic intervention. Methods: The records and code sheets of children who underwent liver transplantation in the authors' institution between September 1993 and December 2001 were reviewed. Results: Twenty-nine children (16 boys and 13 girls) underwent 31 liver transplantations (23 living donor, 8 cadaveric donor) during the study period. The ages of the children ranged from 4 months to 132 months (median, 16 months). Eighteen children had complications that required surgical or radiologic interventional procedures. Complications included, among others, hepatic vein thrombosis (n = 1, 3%), hepatic vein stenosis (n = 2, 7%), portal vein thrombosis (n = 2, 7%), biliary stricture (n = 3, 10%), bile leakage (n = 2, 7%), hepatic artery pseudoaneurysm (n = 1, 3%), jejuno-jejunostomy leakage (n = 1, 3%), graft hepatitis (n = 1, 3%), and posttransplant lymphoproliferative disorder (n = 2, 7%). In addition, 6 children (21%) suffered from intraabdominal bleeding from a variety of causes. After appropriate interventions, at a median follow-up of 38 months (range, 1 to 96 months), patient and graft survival rates were 79% and 74%, respectively. The retransplantation rate was only 7%. There was no incidence of hepatic artery thrombosis. All living donors remain alive and well. Conclusions: Complications are inevitable in pediatric liver transplantation. However, with timely recognition and active intervention, a good outcome can be achieved. Copyright 2002, Elsevier Science (USA). All rights reserved.
DescriptionPresented at the 35th Annual Meeting of the Pacific Association of Pediatric Surgeons, La Jolla, California, May 12-16, 2002.
Persistent Identifierhttp://hdl.handle.net/10722/88580
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSaing, Hen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorTam, PKHen_HK
dc.contributor.authorLo, CMen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorChan, KLen_HK
dc.contributor.authorTsoi, NSen_HK
dc.contributor.authorYuen, KYen_HK
dc.contributor.authorNg, IOLen_HK
dc.contributor.authorChau, MTen_HK
dc.contributor.authorTso, WKen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T09:45:14Z-
dc.date.available2010-09-06T09:45:14Z-
dc.date.issued2002en_HK
dc.identifier.citationThe 35th Annual Meeting of the Pacific Association of Pediatric Surgeons, La Jolla, CA., 12-16 May 2002. In Journal of Pediatric Surgery, 2002, v. 37 n. 12, p. 1673-1677en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88580-
dc.descriptionPresented at the 35th Annual Meeting of the Pacific Association of Pediatric Surgeons, La Jolla, California, May 12-16, 2002.-
dc.description.abstractPurpose: The aim of this study was to analyze the early and late results of pediatric liver transplantation, with particular reference to complications that required surgical or radiologic intervention. Methods: The records and code sheets of children who underwent liver transplantation in the authors' institution between September 1993 and December 2001 were reviewed. Results: Twenty-nine children (16 boys and 13 girls) underwent 31 liver transplantations (23 living donor, 8 cadaveric donor) during the study period. The ages of the children ranged from 4 months to 132 months (median, 16 months). Eighteen children had complications that required surgical or radiologic interventional procedures. Complications included, among others, hepatic vein thrombosis (n = 1, 3%), hepatic vein stenosis (n = 2, 7%), portal vein thrombosis (n = 2, 7%), biliary stricture (n = 3, 10%), bile leakage (n = 2, 7%), hepatic artery pseudoaneurysm (n = 1, 3%), jejuno-jejunostomy leakage (n = 1, 3%), graft hepatitis (n = 1, 3%), and posttransplant lymphoproliferative disorder (n = 2, 7%). In addition, 6 children (21%) suffered from intraabdominal bleeding from a variety of causes. After appropriate interventions, at a median follow-up of 38 months (range, 1 to 96 months), patient and graft survival rates were 79% and 74%, respectively. The retransplantation rate was only 7%. There was no incidence of hepatic artery thrombosis. All living donors remain alive and well. Conclusions: Complications are inevitable in pediatric liver transplantation. However, with timely recognition and active intervention, a good outcome can be achieved. Copyright 2002, Elsevier Science (USA). All rights reserved.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.subjectComplications of liver transplantationen_HK
dc.subjectLiving donor liver transplanten_HK
dc.subjectPediatric liver transplanten_HK
dc.subjectReduced-size liver transplanten_HK
dc.subject.meshChilden_HK
dc.subject.meshChild, Preschoolen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshInfanten_HK
dc.subject.meshIntraoperative Complications - epidemiologyen_HK
dc.subject.meshLiver Transplantation - adverse effects - statistics & numerical dataen_HK
dc.subject.meshMaleen_HK
dc.subject.meshPostoperative Complications - classification - epidemiologyen_HK
dc.subject.meshSurvival Rateen_HK
dc.subject.meshTissue Donors - statistics & numerical dataen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleSurgical complications and outcome of pediatric liver transplantation in Hong Kongen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=37&spage=1673&epage=1677&date=2002&atitle=Surgical+complications+and+outcome+of+pediatric+liver+transplantation+in+Hong+Kongen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hku.hken_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.emailYuen, KY: kyyuen@hkucc.hku.hken_HK
dc.identifier.emailNg, IOL: iolng@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.identifier.authorityYuen, KY=rp00366en_HK
dc.identifier.authorityNg, IOL=rp00335en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1053/jpsu.2002.36690en_HK
dc.identifier.pmid12483627-
dc.identifier.scopuseid_2-s2.0-0036894838en_HK
dc.identifier.hkuros68996en_HK
dc.identifier.hkuros77111-
dc.identifier.hkuros86113-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036894838&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume37en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1673en_HK
dc.identifier.epage1677en_HK
dc.identifier.isiWOS:000179661100006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridSaing, H=7005715754en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK
dc.identifier.scopusauthoridLo, CM=7401771672en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridChan, KL=37004089600en_HK
dc.identifier.scopusauthoridTsoi, NS=6603693887en_HK
dc.identifier.scopusauthoridYuen, KY=36078079100en_HK
dc.identifier.scopusauthoridNg, IOL=7102753722en_HK
dc.identifier.scopusauthoridChau, MT=7006073758en_HK
dc.identifier.scopusauthoridTso, WK=7006905486en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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