移植レポート : オープンアクセス

抽象的な

An Examination of 2085 Patients in the Japanese Liver Transplant Society Registry of Living Donor Liver Transplantation for Biliary Atresia

Trayana Dicle

Biliary atresia (BA) is the most common suggestion for liver transplantation (LT) in pediatric population. This study anatomized the comprehensive factors that might impact the issues of cases with BA who suffer living patron LT by assessing the largest cohort with the longest follow- up in the world. Between November 1989 and December 2015, 085 BA cases passed LDLT in Japan. There were 763 manly and, 322 womanish donors with a mean age of5.9 times and body weight of18.6 kg. The 1-, 5-, 10-, 15-, and 20- time graft survival rates for the BA cases witnessing LDLT were90.5,90.4,84.6,82.0, and79.9, independently. The patron body mass indicator, ABO incompatibility, graft type, philanthropist age, center experience, and transplant period were set up to be significant predictors of the overall graft survival. Adolescent age (12 to< 18 times) was associated with a significantly worse long- term graft survival rate than youngish or aged periods. We conclude that LDLT for BA is a safe and effective treatment modality that doesn't compromise living benefactors. The optimum timing for LT is pivotal for a successful outgrowth, and early referral to transplantation center can ameliorate the short- term issues of LT for BA. Farther disquisition of the major cause of death in liver scattered donors with BA in the long- term is essential, especially among adolescents.