{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T11:10:49Z","timestamp":1760094649798,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pediatric liver transplantation in small children is a technical challenge; the use of liver grafts from living donors improves access but faces further technical difficulties due to size mismatch and anatomical variants. Avoiding outflow complications is a major concern in pediatric liver transplantations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Report<\/jats:title><jats:p>A 14\u2010month\u2010old girl weighing 6.2\u2009kg with extrahepatic biliary atresia without ascites was referred to our hospital. Her father volunteered to donate, and the calculated volume of the left lateral section was 315\u2009mL, with an estimated ratio of 4.5. Segment\u20103 vein drained into the middle hepatic vein. Given the high graft ratio, variant venous anatomy, and absence of ascites, a segment\u20102 monosegment graft was planned with a final ratio of 2.8, with no need for venous reconstruction and primary abdominal closure. No technical complications were observed after 6\u2009years of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first case of monosegmental liver transplantation in Mexico. The use of this strategy, in the setting of aberrant hepatic vein anatomy, showed that the procedure can avoid unnecessary venous reconstruction and reduce the need for abdominal wall reconstruction or reintervention for closure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.70034","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T03:30:21Z","timestamp":1745551821000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Monosegmental Reduction as Strategy to Simplify Venous Reconstruction During Pediatric Liver Transplantation"],"prefix":"10.1111","volume":"29","author":[{"given":"Pilar","family":"Leal\u2010Leyte","sequence":"first","affiliation":[{"name":"Hospital Angeles Pedregal Transplant Program, Hospital Angeles Health System  Mexico City Mexico"},{"name":"Mexico Liver Transplant Study Group  Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Arag\u00f3n\u2010Rico","sequence":"additional","affiliation":[{"name":"Hospital \u00c1ngeles Chihuahua  Chihuahua Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maribel","family":"Baquera\u2010Arteaga","sequence":"additional","affiliation":[{"name":"Hospital \u00c1ngeles Chihuahua  Chihuahua Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thelma","family":"Fern\u00e1ndez\u2010N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"Hospital \u00c1ngeles Chihuahua  Chihuahua Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6821-1478","authenticated-orcid":false,"given":"Daniel","family":"Zamora\u2010Vald\u00e9s","sequence":"additional","affiliation":[{"name":"Mexico Liver Transplant Study Group  Mexico City Mexico"},{"name":"Department of Hepatobiliary Surgery and Organ Transplantation KASCH, KAMC  Riyadh Kingdom of Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004644"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000079446.94204.F9"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13167"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199802000-00018"},{"key":"e_1_2_10_6_1","unstructured":"Centro Nacional de Trasplantes \u201cDatos Abiertos de M\u00e9xico \u201daccessed May 23 2024 https:\/\/datos.gob.mx\/busca\/organization\/cenatra."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13569"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14489"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn-20-792"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2023.03.004"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14985"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12335"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.70034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T10:29:18Z","timestamp":1760092158000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.70034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,25]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/petr.70034"],"URL":"https:\/\/doi.org\/10.1111\/petr.70034","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"type":"print","value":"1397-3142"},{"type":"electronic","value":"1399-3046"}],"subject":[],"published":{"date-parts":[[2025,4,25]]},"assertion":[{"value":"2024-04-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70034"}}