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Current techniques for pediatric liver transplantation

Cotton, Ronald T.; Nguyen, N. Thao T.; Guiteau, Jacfranz J.; Goss, John A.

Current Opinion in Organ Transplantation: October 2014 - Volume 19 - Issue 5 - p 468–473
doi: 10.1097/MOT.0000000000000122
PEDIATRIC TRANSPLANTATION: Edited by Yuri Genyk
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Purpose of review Orthotopic liver transplantation in the pediatric population is a technically challenging undertaking, requiring highly specialized surgical techniques unique to this group. This review describes the most current method of transplantation for these patients.

Recent findings Pediatric liver transplantation employs multiple modifications of standard transplant technique, including alternative methods of vascular and biliary anastomoses as well as technical variant grafts. We herein describe how these methods are employed in procurement, back-table preparation, hepatectomy, and allograft implantation.

Summary This review provides concise direction of surgical technique for pediatric liver transplant recipients.

Division of Abdominal Transplantation, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA

Correspondence to John A. Goss, MD, Michael E. DeBakey Department of Surgery, 6620 Main Street, Suite 1425, Houston, TX 77030, USA. Tel: +1 832 355 1400; e-mail: jgoss@bcm.edu

Copyright © 2014 Wolters Kluwer Health, Inc. All rights reserved.