Hamano Ikumi, Sakamoto Seisuke, Fukuda Akinari, Uchida Hajime, Sasaki Kengo, Shigeta Takanobu, Kanazawa Hiroyuki, Nakazawa Atsuko, Kasahara Mureo, Ogura Yasuhiro, Uemoto Shinji
Transplantation Center, National Center for Child Health and Development, Tokyo.
Department of Hepatobiliary, Pancreas and Transplant Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Nihon Geka Gakkai Zasshi. 2013 Nov;114(6):340-4.
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.
我们报告了日本首例6岁以下脑死亡供体的小儿肝移植手术。一名9个月大的女孩在活体肝移植治疗胆道闭锁后出现移植失败。实施了6岁以下的脑死亡供体肝移植（DDLT）。根据术前评估选择合适的小儿器官获取手术器械很重要。由于血管重建困难，获取了足够的血管移植物。她在DDLT后172天出院。在日本，小儿器官捐赠的案例很少。因此，我们应该为供体和受体都做好充分准备。
