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Long Term Outcomes of Pediatric Liver Transplantation According to Age
Jeik Byun,이남준,이정무,서석원,유태석,최영록,고재성,서정기,김혜영,이해원,김현영,이광웅,정성은,이성철,박귀원,서경석 대한의학회 2014 Journal of Korean medical science Vol.29 No.3
Liver transplantation (LT) has been the key therapy for end stage liver diseases. However, LTin infancy is still understudied. From 1992 to 2010, 152 children had undergone LT in SeoulNational University Hospital. Operations were performed on 43 patients aged less than 12months (Group A) and 109 patients aged over 12 months (Group B). The mean age of therecipients was 7 months in Group A and 74 months in Group B. The patients’ survival ratesand post-LT complications were analyzed. The mean Pediatric End-stage Liver Disease scorewas higher in Group A (21.8) than in Group B (13.4) (P = 0.049). Fulminant hepatitis wasless common in Group A (4.8%) than in Group B (13.8%) (P = 0.021). The post-transplantlymphoproliferative disorder and portal vein complication were more common in Group A(14.0%, 18.6%) than in Group B (1.8%, 3.7%) (P = 0.005). However, the 1, 5, and 10 yrpatient survival rates were 93%, 93%, and 93%, in Group A and 92%, 90%, and 88% inGroup B (P = 0.212). The survival outcome of pediatric LT is excellent and similar regardlessof age. LTs in infancy are not riskier than those of children.
Changhoon Lee,Jeik Byun,Dayoung Ko,Hee-Beom Yang,Joong Kee Youn,Hyun-Young Kim 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.100 No.3
Purpose: Cyst excision with hepaticojejunostomy has been the classic procedure for treating choledochal cysts, and the use of laparoscopic treatment has been favored recently. The purpose of this study was to compare the long-term biliary complication of laparoscopic operation with open surgery for choledochal cyst presenting in children. Methods: A retrospective study comparing the laparoscopic and open procedures was performed in 185 patients with choledochal cyst in a single children’s hospital. There were 109 patients who were operated with open surgery, and 76 patients operated with laparoscopic surgery. The primary outcome was long-term biliary complications and the secondary outcome included operative time, intraoperative transfusion, length of hospital stay, and other late postoperative complications. Results: In the patient’s demographics, there was no significant difference between the 2 groups. Notably, it was shown that the operative time was longer in the laparoscopic group. The number of patients requiring blood transfusion intraoperatively was lower in the laparoscopic group. It was noted that the hospital stay was not statistically different. The duration to resumption of diet and duration of drainage were longer in the laparoscopic group. Biliary complications were shown to be significantly higher in the open group. The risk factor for long-term biliary complications was noted with the intraoperative transfusion. Conclusion: The use of a laparoscopic choledochal cyst excision with hepaticojejunostomy is a safe and feasible technique in a young patient. The long-term biliary complication was lower compared to open surgery, rendering this a good option for pediatric patients.