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Liver transplantation in children


Authors: I. Hejlová 1;  M. Adamec 2;  R. Kotalová 3;  M. Prchlík 4;  E. Kieslichová 5;  J. Špičák 1;  P. Trunečka 6
Authors‘ workplace: Klinika hepatogastroenterologie, IKEM, Praha, Přednosta: prof. MUDr. Julius Špičák, CSc., 2Klinika transplantační chirurgie, IKEM, Praha, Přednosta: prof. MUDr. Miloš Adamec, CSc., 3Pediatrická klinika 2. lékařské fakulty Univerzity Karlovy a Fakultní nem 1
Published in: Prakt. Lék. 2010; 90(7): 436-439
Category: Therapy

Overview

Liver transplantation is a successful therapeutic modality for children with liver failure, inborn metabolic disorders and some liver tumours. It offers long-term survival with good quality of life. Organ scarcity is being overcome due to innovative surgical techniques, which has resulted in almost no waiting-list mortality. Forty-six liver transplantations in 40 children (four of them younger than 4 years old) were performed in IKEM from 1995 to June 2009. Patient survival after liver transplantation in IKEM was:

– 84.
6 %, 1-year survival,

– 77.
2 %, 5-year survival, and

– 77.
2 %, 10-year survival.

These very good results, comparable with European and North American statistics, could only be reached through the close cooperation of the multidisciplinary team.

Key words:
paediatric liver transplantation, indications, surgical techniques, complications.


Sources

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