Alternatives to left lateral segment for pediatric liver transplantation, or required surgeon toolkit?  

作　　者：Paola A.Vargas Nicolas Goldaracena 

机构地区：[1]Division of Transplant Surgery,Department of Surgery,University of Virginia Health System,Charlottesville,VA,USA

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第2期376-378,共3页肝胆外科与营养（英文）

摘　　要：We read with great interest the systematic review on modified grafts for pediatric liver transplantation by Gavriilidis et al.(1)recently published in Hepatobiliary Surgery and Nutrition.The authors aimed to review existing literature related to liver transplantation(LT)in small pediatric recipients using modified left lateral segment(LLS)grafts-reduced/hyper-reduced LLS or monosegments-and how comparable these techniques are to the standard practice using LLS.We congratulate the authors on their publication and would like to highlight some important findings of this study.Gavriilidis et al.’s(1)systematic review included a final cohort of 330 small pediatric recipients of modified LLS over two decades.The discrepancy between years evaluated and number of reported cases included in the systematic review is striking,and somehow not surprising.In the Unites States alone,the pre-transplant mortality amongst candidates younger than 1 year is reported to be 21.7 deaths per 100 patient-years(2).

关 键 词：Pediatric liver transplantation(pediatric LT) left lateral segment(LLS) modified grafts technical challenges graft selection 

分 类 号：R657.3[医药卫生—外科学]