Choi Sehoon
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Chest Surg. 2022 Aug 5;55(4):313-318. doi: 10.5090/jcs.22.062.
Fewer patients undergo pediatric lung transplantation (PLT) than adult lung transplantation. Size mismatch is the key factor that limits the availability of potential donors. Every candidate for PLT is in a different scenario in terms of age, height and weight, size of structures, indications for PLT, the concomitant presence of a cardiac anomaly, and other individual-specific factors; thus, a thorough understanding of pediatric patients' medical problems is essential. Living-donor lobar lung transplantation (LDLLT) has only been performed once in Korea to date. However, since each step in the LDLLT is a well-established procedure, including intrapericardial lobectomy, lung procurement, and lobar lung transplantation, qualified surgeons and lung transplantation teams are competent to perform LDLLT in clinically necessary situations.
接受小儿肺移植（PLT）的患者比成人肺移植的患者少。尺寸不匹配是限制潜在供体可用性的关键因素。每个PLT候选者在年龄、身高和体重、结构大小、PLT适应症、心脏异常的并存情况以及其他个体特异性因素方面都处于不同的情况；因此，全面了解小儿患者的医疗问题至关重要。活体供体肺叶移植（LDLLT）迄今为止在韩国仅进行过一次。然而，由于LDLLT的每一步都是成熟的手术，包括心包内肺叶切除术、肺获取和肺叶移植，合格的外科医生和肺移植团队有能力在临床必要的情况下进行LDLLT。
