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Outcomes of Split Liver Transplantation vs Living Donor Liver Transplantation in Pediatric Patients: A 5-Year Follow-Up Study in Korea
DC Field | Value | Language |
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dc.contributor.author | 김명수 | - |
dc.date.accessioned | 2022-12-22T01:59:05Z | - |
dc.date.available | 2022-12-22T01:59:05Z | - |
dc.date.issued | 2022-05 | - |
dc.identifier.issn | 1425-9524 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/191408 | - |
dc.description.abstract | BACKGROUND The number of pediatric patients awaiting liver transplantation has decreased. Due to its increased use in Korea, split liver transplantation (SLT) may be a substitute for living donor liver transplantation (LDLT); however, the outcomes of pediatric SLT and LDLT in Korea remain unreported. MATERIAL AND METHODS We reviewed data of Korean patients aged <18 years who received SLT from 2005 to 2014, based on the Korea national database and compared to recipients who underwent LDLTs at Seoul National University Hospital during the same period. RESULTS A total of 63 and 56 patients were included in SLT and LDLT, respectively. The most common indication for LT was biliary atresia (60.3% in SLT vs 67.9% in LDLT). The Pediatric End-Stage Liver Disease score did not differ between the groups (P>0.05). The 1-, 3-, and 5-year overall survival rates were 92.1%, 90.2%, and 86.6% in the SLT and 96.4%, 94.6%, and 94.6% in the LDLT groups, respectively (P=0.21); the corresponding graft survival rates were 88.9%, 87.1%, and 83.6% in the SLT and 92.9%, 91.0%, and 91.0% in the LDLT groups, respectively (P=0.31). Fulminant hepatic failure was a risk factor for graft failure [OR, 8.77 (1.08-70.92); P=0.042], but not overall survival [OR, 11.78 (0.56-247.29); P=0.11]. CONCLUSIONS The graft and overall survival rates of SLT and LDLT were not different in pediatric patients in Korea, and fulminant hepatic failure was the only risk factor affecting graft survival outcomes. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | International Scientific Literature, Inc. | - |
dc.relation.isPartOf | ANNALS OF TRANSPLANTATION | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | End Stage Liver Disease* | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver Failure, Acute* / etiology | - |
dc.subject.MESH | Liver Transplantation* / adverse effects | - |
dc.subject.MESH | Living Donors | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Severity of Illness Index | - |
dc.title | Outcomes of Split Liver Transplantation vs Living Donor Liver Transplantation in Pediatric Patients: A 5-Year Follow-Up Study in Korea | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Kyung Chul Yoon | - |
dc.contributor.googleauthor | Sanghee Song | - |
dc.contributor.googleauthor | Sanghoon Lee | - |
dc.contributor.googleauthor | Ok-Kyung Kim | - |
dc.contributor.googleauthor | Suk Kyun Hong | - |
dc.contributor.googleauthor | Nam-Joon Yi | - |
dc.contributor.googleauthor | Jong Man Kim | - |
dc.contributor.googleauthor | Kwang-Woong Lee | - |
dc.contributor.googleauthor | Myoung Soo Kim | - |
dc.contributor.googleauthor | YoungRok Choi | - |
dc.contributor.googleauthor | Kyung-Suk Suh | - |
dc.contributor.googleauthor | Suk-Koo Lee | - |
dc.identifier.doi | 10.12659/AOT.935682 | - |
dc.contributor.localId | A00424 | - |
dc.relation.journalcode | J00184 | - |
dc.identifier.eissn | 2329-0358 | - |
dc.identifier.pmid | 35502129 | - |
dc.contributor.alternativeName | Kim, Myoung Soo | - |
dc.contributor.affiliatedAuthor | 김명수 | - |
dc.citation.volume | 27 | - |
dc.citation.startPage | e935682 | - |
dc.identifier.bibliographicCitation | ANNALS OF TRANSPLANTATION, Vol.27 : e935682, 2022-05 | - |
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