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A total of 92 (53%) children weighed less than 10\u00a0kg; 19 (21%) of them underwent WLT and constitute the study population. Median age of the recipients was 10\u00a0months (21\u00a0days\u201324\u00a0months) and median body weight 6.5 (3.1\u20139.8) kg. Median age of the donors was 5 (1\u201384) months and median body weight 6.1 (4\u201321) kg. Median donor\u2010to\u2010recipient body weight ratio was 1.2 (range: 0.6\u20134.5). Postoperatively, neither hepatic artery nor portal vein thrombosis occurred. A biliary complication occurred in 4 cases: 1 bile leak (early), 3 anastomotic stenoses (1 delayed and 2\u00a0late), and 1 non\u2010anastomotic stenosis (late). Patient survival rate at 1, 5, and 10\u00a0years was 100%, 92%, and 92%, respectively. Overall, death\u2010censored graft survival after 1, 5, and 10 was 100%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results are excellent in terms of complications and graft and patient survival. This involves not only high\u2010end surgical performance but also close interdisciplinary perioperative cooperation based on strong standard operating procedures and mainly focused on fluid management, hemostasiology, and strict monitoring of vessel patency.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14222","type":"journal-article","created":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T08:17:37Z","timestamp":1641543457000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Whole liver transplantation in children under 10 kg: How to minimize the high risks of a still challenging procedure"],"prefix":"10.1111","volume":"26","author":[{"given":"Maren","family":"Peters","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Transplant Surgery Tuebingen University Hospital  Tuebingen 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