J.Jpn. Surg. Soc.
ISSN 1880-1129

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J.Jpn. Surg. Soc.. 114(6): 340-344, 2013

Case report

DECEASED DONOR LIVER TRANSPLANTATION RECEIVING A LIVER FROM A CHILD UNDER SIX YEARS OLD: AN EXPERIENCE OF ORGAN RETRIEVAL FROM A PEDIATRIC DONOR IN JAPAN

1) Transplantation Center, National Center for Child Health and Development, Tokyo, Japan
2) Department of Hepatobiliary, Pancreas and Transplant Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

Ikumi Hamano1), Seisuke Sakamoto1), Akinari Fukuda1), Hajime Uchida1), Kengo Sasaki1), Takanobu Shigeta1), Hiroyuki Kanazawa1), Atsuko Nakazawa1), Mureo Kasahara1), Yasuhiro Ogura2), Shinji Uemoto2)

We report a first pediatric liver transplantation from a brain-dead donor under 6-year-old in Japan. A 9-month-old girl suffered from graft failure after living donor liver transplantation for biliary atresia. The deceased donor liver transplantation (DDLT) from under 6-year-old was performed. It was important to select appropriate surgical devices for the pediatric organ recovery based on the preoperative evaluation. Sufficient vessel grafts were procured because of difficult vascular reconstruction. She discharged on 172 days after DDLT. There have been few cases of pediatric organ donation in Japan. Therefore we should make careful preparation for both of donor and recipient.

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