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Pediatric deceased donor liver transplantation with in situ size reduction for recipient-graft size matching

Namgoong JM, Hwang S, Kim DY, Ha TY, Song GW, Jung DH, Kim KM, Oh SH

We present a case of pediatric deceased donor liver transplantation using a reduced whole liver graft in a 25-month-old boy weighing 12.7 kg. After he had undergone Kasai portoenterostomy for...
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Dextroplantation of a reduced left lateral section graft in an infant undergoing living donor liver transplantation

Namgoong JM, Hwang S, Park GC, Kim KM, Oh SH, Kwon H, Kwon YJ

Graft size matching is essential for successful liver transplantation in infant recipients. We present our technique of graft dextroplantation used in an infant who underwent living donor liver transplantation (LDLT)...
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Funneling venoplasty for anomalous graft left hepatic vein in living donor liver transplantation using a split left lateral section graft for an infant patient

Namgoong JM, Hwang S, Ha TY, Yoon YI, Kwon YJ, Kwon H, Kim KM, Oh SH

The left lateral section (LLS) can have an unusual variant left hepatic vein (LHV) anatomy. We present a case of customized funneling venoplasty of the graft LHV in a 22-month-old...
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Living donor liver transplantation in a pediatric patient with congenital absence of the portal vein

Namgoong JM, Hwang S, Park GC, Kwon H, Kim KM, Oh SH

Congenital absence of the portal vein (CAPV) is a rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. We report a case of pediatric living...
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Third retransplantation using a whole liver graft for late graft failure from hepatic vein stent stenosis in a pediatric patient who underwent split liver retransplantation

Namgoong JM, Hwang S, Yoon YI, Cho YP, Kang WH, Kwon YJ, Kwon H, Kim SH, Kim KM, Oh SH

We present a case of third retransplantation using a whole liver graft in a 13-year-old girl who suffered graft failure and hepatopulmonary syndrome following split liver retransplantation with endovascular stenting...
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Efficacy of Living Donor Liver Transplantation in Patients with Methylmalonic Acidemia

Jang JG, Oh SH, Kim YB, Kim SH, Yoo HW, Lee BH, Namgoong JM, Kim DY, Kim KH, Song GW, Moon DB, Hwang S, Lee SG, Kim KM

Purpose: Despite aggressive medical and nutritional management, patients with methylmalonic acidemia (MMA) often suffer from multi-organ damage. Early deceased donor liver transplantation (DDLT) has emerged as an intervention to prevent...
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Pediatric split liver transplantation for congenital factor X deficiency: first 10-year follow-up of a case with portal vein stenting

Namgoong JM, Hwang S, Kim DY, Ha TY, Song GW, Dong-Hwan DH, Kim KM, Oh SH

Congenital factor X (FX) deficiency is a rare autosomal-recessive disease that induces bleeding disorder. Herein, we present the 10-year posttransplant course of a pediatric patient who underwent liver transplantation (LT)...
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Pediatric liver transplantation using a hepatitis B surface antigen-positive donor liver graft for congenital absence of the portal vein

Namgoong JM, Hwang S, Kim DY, Ha TY, Song GW, Jung DH, Kim KM, Oh SH

Congenital absence of the portal vein (CAPV) is a rare venous malformation in which mesenteric venous blood drains directly into systemic circulation. Herein, we report a case of pediatric deceased...
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Graft outflow vein venoplasty for a laparoscopically harvested left lateral section graft in pediatric living donor liver transplantation

Namgoong JM, Hwang S, Kim KH, Park GC, Kim KM, Oh SH, Kwon H, Kwon YJ

Laparoscopically harvested left lateral section (LLS) grafts have drawbacks regarding the size of the graft left hepatic vein (LHV) orifice although they have the merit of cosmetics concerning the donor’s...
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Pediatric split liver transplantation using a hyperreduced left lateral segment graft in an infant weighing 4 kg

Namgoong JM, Hwang S, Kim DY, Song GW, Ahn CS, Kim KM, Oh SH

We present a case of successful split liver transplantation (LT) using a hyperreduced left lateral segment (LLS) graft in a 106-day-old female infant patient weighing 4 kg. The patient was diagnosed...
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Graft outflow vein unification venoplasty with superficial left hepatic vein branch in pediatric living donor liver transplantation using a left lateral section graft

Namgoong JM, Hwang S, Park GC, Kwon H, Kwon YJ, Kim SH

Orifice size of the left hepatic vein trunk (LHV) in left lateral segment (LLS) grafts is often too small to perform direct anastomosis. A small superficial branch of LHV is...
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Side-to-side portal vein reconstruction for infant-to-infant deceased donor whole liver transplantation: Report of 2 cases with video

Namgoong JM, Hwang S, Ahn CS, Jung DH, Park GC

Infant-to-infant whole liver transplantation (I2I-WLT) has been rarely performed in Korea. Unlike living donor liver transplantation or split liver transplantation, the donor graft portal vein (PV) in I2I-WLT is very...
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Changes in the indications for living donor liver transplantation: single-institution experience of 3,145 cases over 10 years

Kang SH, Hwang S, Ahn CS, Kim KH, Moon DB, Ha TY, Song GW, Jung DH, Park GC, Namgoong JM, Yoon YI, Cho HD, Kwon JH, Chung YK, Choi JU, Lee SG

Background: To understand the changing demands and recent trends in the indications for living donor liver transplantation (LDLT), the present study aimed to analyze the indications for LDLT performed in...
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Unification venoplasty of the outflow hepatic vein for laparoscopically harvested left liver grafts in pediatric living donor liver transplantation

Namgoong JM, Hwang S, Kim KH, Park GC, Kim KM, Oh SH, Cho HD, Kwon H, Kwon YJ

Laparoscopically harvested left liver (LL) grafts have drawbacks with respect to the size and shape of graft hepatic vein orifices. We present two cases of pediatric living donor liver transplantation (LDLT)...
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Pediatric split liver transplantation in a patient with biliary atresia polysplenia syndrome and agenesis of inferior vena cava

Namgoong JM, Hwang S, Kim DY, Ha TY, Song GW, Jung DH, Kim KM, Oh SH

Biliary atresia (BA)-polysplenia syndrome (PS) is diagnosed in a small proportion of BA patients. We present a case of split liver transplantation (LT) successfully performed in a pediatric recipient with...
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Whole liver deceased donor liver transplantation for pediatric recipients: single-center experience for 20 years

Namgoong JM, Hwang S, Kim DY, Ha TY, Song GW, Jung DH, Park GC, Kim KM, Oh SH

Background: We investigated the incidence and outcomes of pediatric deceased donor liver transplantation (DDLT) using whole liver grafts in a high-volume liver transplantation (LT) center. Methods: The study was a retrospective single-center...
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Pediatric liver transplantation with hyperreduced left lateral segment graft

Na BG, Hwang S, Namgoong JM, Song GW, Kim DY, Ha TY, Jung DH, Kim KM, Oh SH

Background: To prevent large-for-size graft-related complications in small infant patients, the size of a left lateral segment (LLS) graft can be reduced to be a hyperreduced LLS (HRLLS) graft. Methods: This...
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Outflow vein venoplasty of left lateral section graft for living donor liver transplantation in infant recipients

Kim SH, Hwang S, Namgoong JM, Park GC, Ahn CS, Kim KH, Kwon H, Kwon YJ

Background: The size of the orifice of the left hepatic vein (LHV) trunk in left lateral segment (LLS) grafts is often too small for direct anastomosis. Several methods were developed...
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Pediatric liver transplantation with hyperreduced left lateral segment graft

Namgoong JM, Hwang S, Song GW, Kim DY, Ha TY, Jung DH, Park GC, Ahn CS, Kim KM, Oh SH, Kwon H, Kwon YJ

Backgrounds/Aims: To prevent large-for-size graft-related complications in small infant patients, the size of a left lateral segment (LLS) graft can be reduced to be a hyperreduced LLS (HRLLS) graft. Methods: This...
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Portal vein reconstruction using side-to-side unification technique for infant-to-infant deceased donor whole liver transplantation

Namgoong JM, Hwang S, Ahn CS, Kim KM, Oh SH, Kim DY, Ha TY, Song GW, Jung DH, Park GC

Backgrounds/Aims: Infant-to-infant whole liver transplantation (I2I-WLT) has been rarely performed in Korea. We analyze clinical sequences of our 7 cases of I2I-WLT and present evolution of surgical techniques to prevent...
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