NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN

The aim of the study was to analyze the early and late outcomes of pediatric liver transplantation (LTx) program in the Novosibirsk region. Material and Methods. The retrospective study included 24 patients aged 72 ± 74.8 months (from 4 to 212 months, median – 20 months) with a body weight of 21.7 ±...

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Main Authors: I. A. Porshennikov, A. Yu. Bykov, M. A. Korobeynikova, E. G. Yushina, V. N. Pavlik, E. E. Shchekina, K. Yu. Beloborodov, K. A. Gryaznov, S. V. Danchenko, A. B. Nikulina, I. G. Grinberg, E. I. Streltsova, A. V. Yudanov
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Siberian Branch Publishing House 2020-03-01
Series:Сибирский научный медицинский журнал
Subjects:
Online Access:https://sibmed.elpub.ru/jour/article/view/333
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author I. A. Porshennikov
A. Yu. Bykov
M. A. Korobeynikova
E. G. Yushina
V. N. Pavlik
E. E. Shchekina
K. Yu. Beloborodov
K. A. Gryaznov
S. V. Danchenko
A. B. Nikulina
I. G. Grinberg
E. I. Streltsova
A. V. Yudanov
author_facet I. A. Porshennikov
A. Yu. Bykov
M. A. Korobeynikova
E. G. Yushina
V. N. Pavlik
E. E. Shchekina
K. Yu. Beloborodov
K. A. Gryaznov
S. V. Danchenko
A. B. Nikulina
I. G. Grinberg
E. I. Streltsova
A. V. Yudanov
author_sort I. A. Porshennikov
collection DOAJ
description The aim of the study was to analyze the early and late outcomes of pediatric liver transplantation (LTx) program in the Novosibirsk region. Material and Methods. The retrospective study included 24 patients aged 72 ± 74.8 months (from 4 to 212 months, median – 20 months) with a body weight of 21.7 ± 18.1 kg (from 4.5 to 55 kg, median – 12.5 kg). Two (8.3 %) cadaveric whole liver grafts, 19 (79.2 %) living donor liver grafts, and 3 (12.5 %) cadaveric liver fragments (reduced-size or split-liver) were transplanted. Results. The features of vascular and biliary reconstruction in different types of LTx are discussed. The incidence of vascular and biliary complications was 8.3 and 20.8%, respectively. The patients stayed in the intensive care unit for 9 ± 5.1 days (from 4 to 22 days, median 8 days) and total length of hospital stay was for 40 ± 25.4 days (from 19 to 136 days, median 32 days). Two (8.3 %) recipients had early graft dysfunction. Perioperative mortality (up to 90 days) was absent. The overall 5-year patient and graft survival rates were 95 and 88 %, respectively. Conclusion. The Novosibirsk region has a pediatric LTx program with outcomes comparable to the data of the leading world and Russian centers.
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spelling doaj.art-79f1f4c138264a4492516439de8ba6f22025-02-28T13:43:55ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202020-03-01401203010.15372/SSMJ20200103230NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDRENI. A. Porshennikov0A. Yu. Bykov1M. A. Korobeynikova2E. G. Yushina3V. N. Pavlik4E. E. Shchekina5K. Yu. Beloborodov6K. A. Gryaznov7S. V. Danchenko8A. B. Nikulina9I. G. Grinberg10E. I. Streltsova11A. V. Yudanov12State Novosibirsk Regional Clinical Hospital, Novosibirsk State Medical University of Minzdrav of RussiaNovosibirsk State Medical University of Minzdrav of RussiaState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical Hospital, Novosibirsk State Medical University of Minzdrav of RussiaState Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical Hospital, Novosibirsk State Medical University of Minzdrav of RussiaState Novosibirsk Regional Clinical Hospital, Novosibirsk State Medical University of Minzdrav of RussiaThe aim of the study was to analyze the early and late outcomes of pediatric liver transplantation (LTx) program in the Novosibirsk region. Material and Methods. The retrospective study included 24 patients aged 72 ± 74.8 months (from 4 to 212 months, median – 20 months) with a body weight of 21.7 ± 18.1 kg (from 4.5 to 55 kg, median – 12.5 kg). Two (8.3 %) cadaveric whole liver grafts, 19 (79.2 %) living donor liver grafts, and 3 (12.5 %) cadaveric liver fragments (reduced-size or split-liver) were transplanted. Results. The features of vascular and biliary reconstruction in different types of LTx are discussed. The incidence of vascular and biliary complications was 8.3 and 20.8%, respectively. The patients stayed in the intensive care unit for 9 ± 5.1 days (from 4 to 22 days, median 8 days) and total length of hospital stay was for 40 ± 25.4 days (from 19 to 136 days, median 32 days). Two (8.3 %) recipients had early graft dysfunction. Perioperative mortality (up to 90 days) was absent. The overall 5-year patient and graft survival rates were 95 and 88 %, respectively. Conclusion. The Novosibirsk region has a pediatric LTx program with outcomes comparable to the data of the leading world and Russian centers.https://sibmed.elpub.ru/jour/article/view/333liver transplantation in childrenpediatric liver transplantationleft lateral section liver transplantationliving-related donor liver transplantationliver transplantation outcomes
spellingShingle I. A. Porshennikov
A. Yu. Bykov
M. A. Korobeynikova
E. G. Yushina
V. N. Pavlik
E. E. Shchekina
K. Yu. Beloborodov
K. A. Gryaznov
S. V. Danchenko
A. B. Nikulina
I. G. Grinberg
E. I. Streltsova
A. V. Yudanov
NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN
Сибирский научный медицинский журнал
liver transplantation in children
pediatric liver transplantation
left lateral section liver transplantation
living-related donor liver transplantation
liver transplantation outcomes
title NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN
title_full NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN
title_fullStr NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN
title_full_unstemmed NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN
title_short NOVOSIBIRSK REGION PROGRAM OF THE LIVER TRANSPLANTATION IN CHILDREN
title_sort novosibirsk region program of the liver transplantation in children
topic liver transplantation in children
pediatric liver transplantation
left lateral section liver transplantation
living-related donor liver transplantation
liver transplantation outcomes
url https://sibmed.elpub.ru/jour/article/view/333
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