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Long‐term outcomes of pediatric living donor liver transplantation at a single institution
Author(s) -
Oh Seak Hee,
Kim Kyung Mo,
Kim Dae Yeon,
Lee Yeoun Joo,
Rhee Kang Won,
Jang Joo Young,
Chang Soo Hee,
Lee Sun Youn,
Kim JoonSung,
Choi Bo Hwa,
Park SungJong,
Yoon Chong Hyun,
Ko GiYoung,
Sung KyuBo,
Hwang GyuSam,
Choi KyuTaek,
Yu Eunsil,
Song GiWon,
Ha TaeYong,
Moon DeokBog,
Ahn ChulSoo,
Kim KiHun,
Hwang Shin,
Park KwangMin,
Lee YoungJoo,
Lee SungGyu
Publication year - 2010
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2010.01357.x
Subject(s) - medicine , biliary atresia , single center , liver transplantation , transplantation , retrospective cohort study , pediatrics , multivariate analysis , surgery
Oh SH, Kim KM, Kim DY, Lee YJ, Rhee KW, Jang JY, Chang SH, Lee SY, Kim J‐S, Choi BH, Park S‐J, Yoon CH, Ko G‐Y, Sung K‐B, Hwang G‐S, Choi K‐T, Yu E, Song G‐W, Ha T‐Y, Moon D‐B, Ahn C‐S, Kim K‐H, Hwang S, Park K‐M, Lee Y‐J, Lee S‐G. Long‐term outcomes of pediatric living donor liver transplantation at a single institution.
Pediatr Transplantation 2010: 14:870–878. © 2010 John Wiley & Sons A/S. Abstract: There have only been a few studies on the long‐term outcomes and prognostic factors after pediatric LDLT. We conducted a retrospective, single‐center assessment of the outcomes as well as the demographic and clinical factors that influenced the poor outcomes in 113 children aged <16 (median age 21 months; 6 months–15.5 yr) who underwent 115 LDLTs, predominantly for biliary atresia (60.9%) and FHF (14.8%), between 1994 and 2006 at Asan Medical Center. Left lateral segment or left lobe grafts were implanted into most of these children (86.9%) according to routine procedures. The overall rates of graft survival at one, five, and 10 yr were 89.6%, 83.0%, and 81.5%, respectively, and the overall rates of patient survival were 92.9%, 86.3%, and 84.8%, respectively. Virus‐related disease (41.2%) and chronic rejection (29.4%) were the major causes of mortality. On multivariate analysis, UNOS status 1a and 1b and chronic rejection were significant risk factors for both graft and patient loss, whereas the PELD score >25 was a significant risk factor for graft loss. Patient and graft survival may be related not only to post‐operative complications, but also to the patient’s preoperative clinical condition.