{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T22:25:45Z","timestamp":1748298345329},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T00:00:00Z","timestamp":1622937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The right posterior segment (RPS) graft was introduced to overcome graft size discrepancy in living donor liver transplantation (LDLT). However, it was very rarely used in pediatric patients. Here we presented 4 pediatric LDLT cases receiving RPS graft between January 2015 and April 2020 in our center. A total of 1868 LDLT procedures were performed in this period.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Recipients included 1 boy and 3 girls with a median age of 45\u00a0months (range from 40 to 93\u00a0months). They were diagnosed with progressive familial intrahepatic cholestasis, propionic academia, ornithine transcarbamylase and biliary atresia, respectively. Four donors were all mothers with a median age of 32.5\u00a0years (31\u201338\u00a0years). Computer tomography angiography indicated posterior right branches branched off separately from main portal veins (type III variation). Three of these donor livers had 1 orifice of right hepatic veins (RHV). In the remaining 1 donor liver, the RHV showed 3 orifices and an outflow patch plastic was performed. Inferior right hepatic veins weren\u2019t found in four donor grafts. The median graft weight was 397.5\u00a0g (352\u2013461\u00a0g) and the median graft-to-recipient weight ratio was 2.38% (1.44\u20132.80%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Postoperative complications occurred in neither donors nor recipients. Within the median follow-up duration of 29\u00a0months (14\u201364\u00a0months), four children are all alive with normal liver function.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In summary, for older children weighed more than 15\u00a0kg with donors\u2019 variation of type III portal veins, the use of RPS grafts could be a feasible and favorable option.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-021-01835-0","type":"journal-article","created":{"date-parts":[[2021,6,6]],"date-time":"2021-06-06T21:03:23Z","timestamp":1623013403000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pediatric living-donor liver transplantation using right posterior segment grafts"],"prefix":"10.1186","volume":"21","author":[{"given":"Xiaoye","family":"Qu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Wan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingxuan","family":"Feng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bijun","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjun","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangxiang","family":"Gu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,6]]},"reference":[{"issue":"4","key":"1835_CR1","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1053\/j.sempedsurg.2017.07.008","volume":"26","author":"M Kasahara","year":"2017","unstructured":"Kasahara M, Sakamoto S, Fukuda A. Pediatric living-donor liver transplantation. Semin Pediatr Surg. 2017;26(4):224\u201332.","journal-title":"Semin Pediatr Surg"},{"issue":"8","key":"1835_CR2","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1016\/j.ijscr.2014.04.015","volume":"5","author":"T Hori","year":"2014","unstructured":"Hori T, Oike F, Ogura Y, Ogawa K, Uemoto S. Graft harvest of right posterior segment for living-donor liver transplantation. Int J Surg Case Rep. 2014;5(8):516\u201322.","journal-title":"Int J Surg Case Rep"},{"issue":"5","key":"1835_CR3","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1002\/hep.1840210515","volume":"31","author":"K Urata","year":"1995","unstructured":"Urata K, Kawasaki S, Ishizone S, Komiyama A. Calculation of child and adult standard liver volume for liver transplantation. 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All methods were carried out in accordance with the Declaration of Helsinki. Patients were included in the analysis on the basis of consent status as checked at the time data analyses were initiated. Written informed consent was obtained from the patients for publication of this research and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patients, which will be provided upon reasonable request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"249"}}