Chapter 26 - Pediatric liver transplantation  pp. 220-230

Pediatric liver transplantation

By Hector Vilca-Melendez and Giorgina Mieli-Vergani

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As more and more children have undergone liver transplantation (LT), the shortage of size-matched donors has become more of a concern and has led to the development of new surgical techniques based on the segmental anatomy of the liver. The use of reduced liver, as originally described by Bismuth and colleagues, provides a suitable size graft for a child, but wastes the rest of the liver mass. The so called “split” LT then evolved to provide two viable partial grafts that could be shared between a child and an adult. Living related LT has also played an important role in reducing the waiting time for a cadaveric organ and has now become a routine procedure in pediatric LT (discussed further in Chapter 22).

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