[Pediatric liver transplantation]

Area of Science:

• Pediatric Surgery
• Hepatology
• Transplantation Medicine

Background:

• Pediatric liver transplantation has become a standard, effective therapy for children.
• Survival rates have significantly improved, reaching 85-90% one-year patient survival.
• Patients experience an enhanced quality of life post-transplant.

Purpose of the Study:

• To review the advancements and special considerations in pediatric liver transplantation.
• To highlight surgical innovations and anesthetic, immunosuppressive, and postoperative care.
• To present a successful case series from the Hospital Infantil de México Federico Gómez.

Main Methods:

• Review of surgical innovations: reduced size, live donor, split, and auxiliary partial transplantation.
• Analysis of anesthetic, immunosuppressive, and postoperative care challenges in pediatric recipients.
• Presentation of a national leading case series, including firsts in live donor and simultaneous liver-kidney transplants.

Main Results:

• Pediatric liver transplantation achieves high patient survival rates (85-90% at one year).
• Surgical innovations have expanded the feasibility of transplantation for pediatric patients.
• The Hospital Infantil de México has a leading successful series, including complex procedures.

Conclusions:

• Pediatric liver transplantation is a highly successful and evolving field.
• Specialized approaches in surgery, anesthesia, and post-operative care are crucial for pediatric success.
• Continued innovation and experienced centers are vital for improving outcomes in pediatric liver transplantation.