ADULT-TO-PEDIATRIC LIVING DONOR LIVER TRANSPLANT IN RECIPIENTS >20 KG: A CASE SERIES OF FULL LEFT LOBE GRAFTS
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Date
2024
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BACKGROUND: Chile presents one of the lowest organ donation rates, resulting in pediatric Walter de Biase 1 , Claudemiro 1 , Eduardo Gu liver waitlist mortality rates up to 38.1%. Live donor liver transplantation is one of the main alternatives Fabricio Ferreira 3 ,Paulo 3 to decrease waitlist mortality, mostly utilized in our country for small children up to 20 kg. AIMS: The aim of this study was to report a three-case series of adult-to-pediatric living donor liver transplantation using a full left lobe graft. METHODS: We report three cases of children with more than 20 kg who received complete left hemi-grafts in different clinical scenarios. The indications and techniques- Racional: O tratamento de escolha para pacientes com hipertens & atilde;o portal adopted are discussed. RESULTS: Three children, two girls and one boy, aged 11, 7, and 3 years, esquistossom & oacute;tica com sangramento de varizes h a desconex & atilde;o & aacute;zigo-portal mais were transplanted. The indications for transplant were fulminant hepatitis of autoimmune etiology, esplenectomia (DAPE) associada & agrave; terapia endosc & oacute;pica. Porhm, estudos mostram aumento hepatoblastoma, and chronic liver failure due to autoimmune hepatitis, respectively. The evolution was satisfactory in all three children, and to date, all are well, approximately 12-24 months after the do calibre das varizes em alguns pacientes durante o seguimento em longo prazo. Objetivo: transplant. CONCLUSIONS: The use of a living donor left lateral segment (segments 2 and 3) has been Avaliar oimpactodaDAPE e tratamento endosc & oacute;picop & oacute;s-operat & oacute;rionocomportamento successfully employed in pediatric liver transplantation. However, it is only suitable for infants and lowdas varizes esof & aacute;gicas e recidiva hemorr & aacute;gica, de pacientes esquistossom & oacute;ticos. Mhtodos: weight children. This approach using the whole left hemi-liver graft contributes to the reduction of Foram estudados 36 com a cinco distribu & iacute;dos em small-for-size syndrome, mortality rate, and waiting times associated with deceased donors.