[Surgical techniques to counter the lack of donors]

It has been 30 years since the first successful transplant in the Czech Republic. The number of interventions and their demand has been continuously growing. As a result of a continuous lack of donors, many new techniques have been developed, aimed at increasing the number of liver grafts suitable for transplant, and thus reducing the number of deaths among patients on the waiting list. In the field of paediatric liver transplants, especially in the groups of the lowest body weight, this need is the most urgent. The paper addresses the respective techniques and their availability in the Czech Republic. The most frequently used techniques include liver reduction and liver SPLIT. Furthermore, several successful domino transplants and transplants from a living donor have taken place. So far, no other techniques used elsewhere in the world (nonheart beating transplant, dual transplants, and auxiliary transplants) have been performed.