Section of Gastroenterology, Hepatology and Nutrition and the Digestive Health Institute, University of Colorado School of Medicine, Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado, USA.
Division of Transplant Surgery, University of Colorado School of Medicine, Anschutz Medical Campus & Children's Hospital Colorado, Aurora, Colorado, USA.
Pediatr Transplant. 2020 Dec;24(8):e13816. doi: 10.1111/petr.13816. Epub 2020 Aug 14.
Amidst the coronavirus (COVID-19) pandemic, the American Society for Transplant Surgeons has recommended that only urgent liver transplant with deceased donors should occur. However, young pediatric candidates rely on living donors for lifesaving transplant. We present a case of non-directed left lateral lobe living liver donor transplant for a 7-month-old child with biliary atresia experiencing repeated life-threatening episodes of sepsis and cholangitis from infected bile lakes. Using careful preoperative planning among the entire multidisciplinary team, paying meticulous attention to infection control pre- and post-operatively, and taking advantage of robust telehealth technology both in and out of the hospital, a successful transplant was achieved. Amidst the COVID pandemic, non-directed liver transplantation can be safely achieved for pediatric recipients.
在冠状病毒（COVID-19）大流行期间，美国移植外科学会建议仅进行紧急的已故供体肝移植。然而，年轻的儿科患者需要依靠活体供者进行挽救生命的移植。我们报告了一例非定向左外侧叶活体肝移植的病例，供者为一名 7 个月大的胆道闭锁婴儿，该患儿因感染性胆汁湖反复发作威胁生命的败血症和胆管炎。整个多学科团队进行了仔细的术前规划，术前和术后都非常注意感染控制，并充分利用医院内外强大的远程医疗技术，最终成功完成了移植。在 COVID 大流行期间，非定向肝移植可以安全地为儿科受者进行。
