Living donor liver transplantation for biliary atresia: a single-center experience with first 100 cases

Am J Transplant. 2006 Nov;6(11):2672-9. doi: 10.1111/j.1600-6143.2006.01528.x. Epub 2006 Aug 25.

Abstract

The aim of this study is to present our institutional experience in living donor liver transplantation (LDLT) as a treatment for end-stage liver disease in children with biliary atresia (BA). A retrospective review of transplant records was performed. One hundred BA patients (52 males and 48 females) underwent LDLT. The mean follow-up period was 85.5 months. The mean age was 2.4 years. The mean preoperative weight, height, and computed GFR were 12.2 kg, 82.5 cm, and 116.4 ml/min/1.73 m2, respectively. Twenty-seven patients were below 1 year of age, and 49 patients were below 10 kg at the time of transplantation. Ninety-six had had previous Kasai operation prior to transplant. The mean recipient operative time was 628 min. The mean recipient intraoperative blood loss was 176 ml. Thirty-five did not require blood or blood component transfusion. The left lateral segment (64) was the most common type of graft used. There were 27 operative complications which included 3 reoperations for postoperative bleeding, 9 portal vein, 4 hepatic vein, 4 hepatic artery, and 7 biliary complications. There was one in-hospital mortality and one retransplantation. The overall rejection rate was 20%. The overall mortality rate was 3%. The 6-month, 1-year and 5-year actual recipient survival rates were 99%, 98% and 98%, respectively.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biliary Atresia / surgery*
  • Body Weight
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Glomerular Filtration Rate
  • Humans
  • Immunosuppression Therapy / methods
  • Infant
  • Kidney Function Tests
  • Liver Transplantation / statistics & numerical data*
  • Living Donors*
  • Male
  • Postoperative Complications / classification
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome