Clinical analysis of liver transplant from a child of brain death to an adult
10.3760/cma.j.issn.1007-8118.2011.05.004
- VernacularTitle:脑死亡儿童供肝成人移植临床分析
- Author:
Jun SHI
;
Wenfeng LUO
;
Limin DING
;
Zhidan XU
;
Yonggang WANG
;
Xinchang LI
;
Laibang LUO
;
Chengmei LONG
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Brain death;
The donate liver from child
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(5):359-363
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical feasibility of liver transplant from child of brain death to adult, to summarize the clinical experiences that a child of brain death transplants liver to an adult. Methods The recipient was a 39-year-old woman patient with primary hepatic carcinoma and posthepatitis cirrhosis (decompensation stage); while the donor was a 8-old-year child of brain death because of brain neoplasms. Donated liver was gained by the method of en bloc multivisceral procurement in a short time; the operative method was classic orthotopic liver transplantation. The postoperative managements included immunosuppression, prevention of infection, hepatic protection, and other relevant supports etc. Results The transplantation operative duration was 6 hours, after which not only did the recipient survive but also her body functioned well including the liver part, with no severe postoperative complications. Conclusions The technology of transplanting livers from children to adults is feasible. The key to ensure the success of transplant operation is systematic preoperative evaluation, excellent operative technique, and perfect postoperative treatment.
