28. Safety of living donor hepatectomy for pediatric liver transplantation in national children hospital
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Abstract
Liver transplantation is a lifesaving procedure in patients with end-stage liver disease, acute liver failure, hepatic tumors, and some metabolic disorders for both children and adults. Living donor liver transplantation (LDLT) has been increasingly popular due to the scarcity of grafts. Thirty-one cases of LDLT were performed at the National Children Hospital from 7/2018 - 3/2023. A retrospectively review was made for evaluating the safety of donor’s hepatectomy procedure using Claviden - Dindo system for classification of negative outcomes in general surgery. There were 15 males, 16 females, with a mean age of 33.74 years. Grafts from the father/mother of the recipients were used in 67.8%. The graft types were left lateral segment, right liver and left liver with the rates were 87.1%, 12.9% and 6.5%, respectively. The mean operation time was 301.8 minutes and the mean length of stay in hospital was 9.1 days. Postoperative discomforts and potential complications were identified in 9 cases (29%), 8 cases considered as mild, 1 case as severe (grade III and above according to Clavien - Dindo classification). There was no postoperative mortality. In conclusion, donor hepatectomy for pediatric liver transplantation can be performed safely with low rate of complication.
Article Details
Keywords
Living donor liver transplantation, pediatric liver transplantation
References
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