Size reduction of the donor liver is a safe way to alleviate the shortage of size-matched organs in pediatric liver transplantation

J. B. Otte, J. De Ville De Goyet, E. Sokal, D. Alberti, D. Moulin, B. De Hemptinne, F. Veyckemans, L. Van Obbergh, M. Carlier, Ph Clapuyt, D. Claus, J. Jamart

Research output: Contribution to journalArticle

Abstract

The development of pediatric liver transplantation is considerably hampered by the dire shortage of small donor organs. This is a very sad situation because in most experienced centers, liver replacement can offer a long-term hope of survival of more than 70% in a growing variety of pediatric liver disorders. The reported experience with 54 reduced-size grafts on a total of 141 transplants performed in 117 children between 1984 and 1988 demonstrates that the technique of reduced-size liver transplantation not only allows long-term survival but, in fact, offers the same survival hope with the same quality of liver function, regardless of the child's age and clinical condition. The prominent feature of our experience with the reduced liver concerns its deliberate use for elective cases. Seventy-seven per cent of the 30 children who electively received a reduced liver were alive 1 year after transplantation, as were 85% of the 62 children who received a full-size graft. There is no difference in the long-term survival rate of patients who received elective grafts, which is in the range of 75% with both techniques.

Original languageEnglish
Pages (from-to)146-157
Number of pages12
JournalAnnals of Surgery
Volume211
Issue number2
Publication statusPublished - 1990

ASJC Scopus subject areas

  • Surgery

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    Otte, J. B., De Ville De Goyet, J., Sokal, E., Alberti, D., Moulin, D., De Hemptinne, B., Veyckemans, F., Van Obbergh, L., Carlier, M., Clapuyt, P., Claus, D., & Jamart, J. (1990). Size reduction of the donor liver is a safe way to alleviate the shortage of size-matched organs in pediatric liver transplantation. Annals of Surgery, 211(2), 146-157.