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[Living relative donor for liver transplantation in paediatric recipient]
M Ryska1, J Snajdauf, F Belina
1Chirurgické oddelení UVN Praha. miroslav.ryska@uvn.cz
Insights
The first pediatric liver transplant in the Czech Republic used a living donor (father), successfully treating biliary atresia. This procedure significantly improved the child's nutrition and psychomotor development.
Area of Science:
- Pediatric Surgery
- Hepatology
- Organ Transplantation
Background:
- Biliary atresia is a severe liver disease in children.
- Kasai procedures can extend survival but often require transplantation.
- Pediatric liver transplantation is a complex but life-saving procedure.
Observation:
- A child with chronic liver failure due to biliary atresia underwent a living-donor liver transplant.
- The donor was the child's father, providing liver segments II-III.
- The child had previously undergone Kasai procedures, surviving for two years.
Findings:
- The pediatric liver transplant demonstrated favorable postoperative development.
- Significant improvements in nutritional status were observed post-transplant.
- Enhanced psychomotor development was noted within twenty months following the surgery.
Implications:
- This case highlights the success of living-donor liver transplantation in pediatric patients with biliary atresia.
- The findings support the viability of segmental liver transplantation in children.
- This contributes to the global understanding and outcomes of pediatric liver transplantation.
Abstract:
Paper refers the first in Czech Republic liver transplantation in a child with the donor being the close living relative - the father. Indication was the chronic liver failure caused by biliary atresia after the Kasai procedures, which enabled the child to survive two years. Liver segments II. -III were transplanted with favourable postoperative development. Within the following twenty months the nutrition status and the psychomotor development of the child significantly improved. Authors discuss present situation and results of the paediatric liver transplantation in the world.
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