LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS

Introduction. Over the past few decades in Russia and other countries there has been signifi cant progress in the development of liver transplantation in children. It became possible to operate recipients with very low body mass, to perform transplant from cadaveric and living donors with incompatib...

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Main Authors: S. V. Gautier, O. M. Tsiroulnikova, Y. G. Moysyuk, D. G. Akhaladze, I. E. Tsiroulnikova, O. V. Silina, Kh. M. Khizroev, A. R. Monakhov, E. V. Chekletsova, V. A. Pets, V. N. Poptsov
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2014-09-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/448
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author S. V. Gautier
O. M. Tsiroulnikova
Y. G. Moysyuk
D. G. Akhaladze
I. E. Tsiroulnikova
O. V. Silina
Kh. M. Khizroev
A. R. Monakhov
E. V. Chekletsova
V. A. Pets
V. N. Poptsov
author_facet S. V. Gautier
O. M. Tsiroulnikova
Y. G. Moysyuk
D. G. Akhaladze
I. E. Tsiroulnikova
O. V. Silina
Kh. M. Khizroev
A. R. Monakhov
E. V. Chekletsova
V. A. Pets
V. N. Poptsov
author_sort S. V. Gautier
collection DOAJ
description Introduction. Over the past few decades in Russia and other countries there has been signifi cant progress in the development of liver transplantation in children. It became possible to operate recipients with very low body mass, to perform transplant from cadaveric and living donors with incompatible blood type, as well as to perform single-step transplantation of liver with kidney or pancreas in patients with combined diseases.Aim: to investigate the 6-year experience of liver transplantation in children in V.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs.Materials and methods. From May 2008 to June 2014 304 liver transplantswere performed in 297 children aged from 3 months to 17 years with body mass 4 to 32 kg. 241 living donor liver left lateral section transplants (including 2 in conjunction with kidney), 8 left lobe (including 1 in conjunction with kidney), 40 right lobe liver transplants (including 1 in conjunction with kidney), and 9 cadaveric whole liver transplants (including 1 case of simultaneous liver and pancreas transplantation) and 6 split liver transplants (4 – split left lateral section transplantations and 2 extended right lobe liver grafts) were achieved.41 of these patients received a graft from AB0 – incompatible donors.Results. A retrospective evaluation of surgical technique and analysis of results were carried out. Early mortality was 8.1%, 1-year survival rate – 86.4%, 5-year survival rate – 78.8%.Conclusion. These results suggest the prospects of this procedure for pediatrictransplantation and require further investigation and promotion approaches in medical and social public.
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publishDate 2014-09-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
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spelling doaj-art-e149e0294f5f4e6b975e25f963b7f97c2025-08-20T03:59:53ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912014-09-01163546210.15825/1995-1191-2014-3-54-62390LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSISS. V. Gautier0O. M. Tsiroulnikova1Y. G. Moysyuk2D. G. Akhaladze3I. E. Tsiroulnikova4O. V. Silina5Kh. M. Khizroev6A. R. Monakhov7E. V. Chekletsova8V. A. Pets9V. N. Poptsov10V.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationIntroduction. Over the past few decades in Russia and other countries there has been signifi cant progress in the development of liver transplantation in children. It became possible to operate recipients with very low body mass, to perform transplant from cadaveric and living donors with incompatible blood type, as well as to perform single-step transplantation of liver with kidney or pancreas in patients with combined diseases.Aim: to investigate the 6-year experience of liver transplantation in children in V.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs.Materials and methods. From May 2008 to June 2014 304 liver transplantswere performed in 297 children aged from 3 months to 17 years with body mass 4 to 32 kg. 241 living donor liver left lateral section transplants (including 2 in conjunction with kidney), 8 left lobe (including 1 in conjunction with kidney), 40 right lobe liver transplants (including 1 in conjunction with kidney), and 9 cadaveric whole liver transplants (including 1 case of simultaneous liver and pancreas transplantation) and 6 split liver transplants (4 – split left lateral section transplantations and 2 extended right lobe liver grafts) were achieved.41 of these patients received a graft from AB0 – incompatible donors.Results. A retrospective evaluation of surgical technique and analysis of results were carried out. Early mortality was 8.1%, 1-year survival rate – 86.4%, 5-year survival rate – 78.8%.Conclusion. These results suggest the prospects of this procedure for pediatrictransplantation and require further investigation and promotion approaches in medical and social public.https://journal.transpl.ru/vtio/article/view/448liver transplantation in childrenleft lateral sectionleft loberight lobewhole liver transplantationliving donor of partial liver graftliver transplantation outcomes
spellingShingle S. V. Gautier
O. M. Tsiroulnikova
Y. G. Moysyuk
D. G. Akhaladze
I. E. Tsiroulnikova
O. V. Silina
Kh. M. Khizroev
A. R. Monakhov
E. V. Chekletsova
V. A. Pets
V. N. Poptsov
LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS
Вестник трансплантологии и искусственных органов
liver transplantation in children
left lateral section
left lobe
right lobe
whole liver transplantation
living donor of partial liver graft
liver transplantation outcomes
title LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS
title_full LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS
title_fullStr LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS
title_full_unstemmed LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS
title_short LIVER TRANSPLANTATION IN CHILDREN: SIX-YEAR EXPERIENCE ANALYSIS
title_sort liver transplantation in children six year experience analysis
topic liver transplantation in children
left lateral section
left lobe
right lobe
whole liver transplantation
living donor of partial liver graft
liver transplantation outcomes
url https://journal.transpl.ru/vtio/article/view/448
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