Colección SciELO Chile

Departamento Gestión de Conocimiento, Monitoreo y Prospección
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ADULT-TO-PEDIATRIC LIVING DONOR LIVER TRANSPLANT IN RECIPIENTS >20 KG: A CASE SERIES OF FULL LEFT LOBE GRAFTS TRANSPLANTE HEPÁTICO ADULTO-PEDIÁTRICO COM DOADOR VIVO EM RECEPTORES COM MAIS DE 20 KG: UMA SÉRIE DE CASOS DE ENXERTOS DE LOBO ESQUERDO COMPLETO
Indexado
Scopus SCOPUS_ID:85208166913
DOI 10.1590/0102-6720202400035E1828
Año 2024
Tipo

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



BACKGROUND: Chile presents one of the lowest organ donation rates, resulting in pediatric liver waitlist mortality rates up to 38.1%. Live donor liver transplantation is one of the main alternatives 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 adopted are discussed. RESULTS: Three children, two girls and one boy, aged 11, 7, and 3 years, were transplanted. The indications for transplant were fulminant hepatitis of autoimmune etiology, 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 transplant. CONCLUSIONS: The use of a living donor left lateral segment (segments 2 and 3) has been successfully employed in pediatric liver transplantation. However, it is only suitable for infants and low-weight children. This approach using the whole left hemi-liver graft contributes to the reduction of small-for-size syndrome, mortality rate, and waiting times associated with deceased donors.

Métricas Externas



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Disciplinas de Investigación



WOS
Gastroenterology & Hepatology
Scopus
Surgery
Gastroenterology
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Ortiz, Catalina - Pontificia Universidad Católica de Chile - Chile
2 Meira-Junior, José Donizeti - Pontificia Universidad Católica de Chile - Chile
Universidade de São Paulo - Brasil
3 Pattillo, Juan Carlos - Pontificia Universidad Católica de Chile - Chile
4 Viñuela, Eduardo - Pontificia Universidad Católica de Chile - Chile
5 Jarufe, Nicholas - Pontificia Universidad Católica de Chile - Chile
6 Martínez, Jorge - Pontificia Universidad Católica de Chile - Chile
7 Briceño, Eduardo - Pontificia Universidad Católica de Chile - Chile
8 Dib, Martin - Pontificia Universidad Católica de Chile - Chile

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Financiamiento



Fuente
UC-CHRISTUS Health Network

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Agradecimientos



Agradecimiento
We express our gratitude to the entire Pediatric Liver Transplantation team at the UC-CHRISTUS Health Network, including the Transplant Surgery team, Pediatric Surgery, Pediatric Hepatology, Pediatric Intensive Care Unit (ICU), Anesthesiology, Hematology, Radiology, Transplant Nursing, Pediatric Nursing, Surgical Instrument Technicians, and Technical Nursing Assistants (TENS). Additionally, our appreciation extends to the Blood Bank and Laboratory departments for their valuable contributions and collaborative efforts.

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