Open AccessLiberal policy of split liver for pediatric liver transplantation. A single centre experience
Author(s) -
Colledan M.,
Segalin A.,
Spada M.,
Lucianetti A.,
Corno V.,
Gridelli B.
Publication year - 2000
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/j.1432-2277.2000.tb02001.x
Subject(s) - medicine , liver transplantation , waiting list , surgery , transplantation , general surgery
We adopted a liberal policy of extensive use of split liver in a pediatric liver transplantation (LT) program. Over a 19‐month period, we have performed 64 LT in 54 patients with pediatric indications. One patient received two liver grafts as a part of a liver‐small bowel transplantation and was not considered. Of the 60 LT considered, performed in 53 patients, 34 were with split grafts. The 1‐year actuarial survival for the patients transplanted with a split graft was 81 % and 89% when only elective cases were considered. The median time on the waiting list was 22 days with no mortality. The extensive use of split liver allowed transplantation in a large number of pediatric patients, with good results without the need for living donor liver transplantation. We envisage a trend towards systematic splitting of liver grafts.