Paediatric liver transplantation. Geneva experience from 1989 to 2001

摘要

Over the last 20 years, paediatric orthotopic liver transplantation (OUT) has witnessed remarkable progress.In the 1980s, children were dying on waiting lists (16-25%) because of the shortage of organs of appropriate size, namely from paediatric donors. For the same reason, they reached transplantation too late. Furthermore, the technical complexities of the surgical act and the problems of peri- and postoperative care were unresolved. While these aspects are still a challenge to any team who is involved with these small patients in terminal liver failure, most of these problems have been resolved, providing these children with optimal chances of leading a normal life.