Liver transplantation for biliary atresia: A nationwide investigation from 1996 to 2013 in mainland China
Ping Wan
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Ping Wan and Dongwei Xu contributed equally to this work.Search for more papers by this authorDongwei Xu
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Ping Wan and Dongwei Xu contributed equally to this work.Search for more papers by this authorJianjun Zhang
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorQigen Li
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorMing Zhang
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorXiaosong Chen
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorCorresponding Author
Yi Luo
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Qiang Xia, MD, PhD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, China
Tel.: +86 21 68383775
Fax: +86 21 58737232
E-mail: [email protected]
Or
Yi Luo, MD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No.1630 Dongfang Road, Shanghai 200127, China
Tel: +8613501977523
Fax: +862158737232
Email: [email protected]
Search for more papers by this authorConghuan Shen
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorLongzhi Han
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorCorresponding Author
Qiang Xia
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Qiang Xia, MD, PhD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, China
Tel.: +86 21 68383775
Fax: +86 21 58737232
E-mail: [email protected]
Or
Yi Luo, MD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No.1630 Dongfang Road, Shanghai 200127, China
Tel: +8613501977523
Fax: +862158737232
Email: [email protected]
Search for more papers by this authorPing Wan
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Ping Wan and Dongwei Xu contributed equally to this work.Search for more papers by this authorDongwei Xu
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Ping Wan and Dongwei Xu contributed equally to this work.Search for more papers by this authorJianjun Zhang
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorQigen Li
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorMing Zhang
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorXiaosong Chen
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorCorresponding Author
Yi Luo
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Qiang Xia, MD, PhD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, China
Tel.: +86 21 68383775
Fax: +86 21 58737232
E-mail: [email protected]
Or
Yi Luo, MD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No.1630 Dongfang Road, Shanghai 200127, China
Tel: +8613501977523
Fax: +862158737232
Email: [email protected]
Search for more papers by this authorConghuan Shen
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorLongzhi Han
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Search for more papers by this authorCorresponding Author
Qiang Xia
Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Qiang Xia, MD, PhD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, China
Tel.: +86 21 68383775
Fax: +86 21 58737232
E-mail: [email protected]
Or
Yi Luo, MD, Department of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No.1630 Dongfang Road, Shanghai 200127, China
Tel: +8613501977523
Fax: +862158737232
Email: [email protected]
Search for more papers by this authorAbstract
We investigated the overall situation of LT for BA in mainland China and analyzed their survival outcomes based on data from CLTR. Between January 1996 and December 2013, 509 liver transplants for BA were performed in mainland China and were included in this study. Patients' median age was 9.6 months (range: 4.8–175.2 months). KP was previously performed in 194 cases (38.1%). Grafts from living donors were used in 380 cases (74.7%). Era I (1996.1–2010.12) and era II (2011.1–2013.12) comprised 151 cases (29.7%) and 358 cases (70.3%), respectively. Twenty-five centers had performed at least one liver transplant for children with BA. Centers from Shanghai (197 cases), Tianjin (143 cases) and Beijing (81 cases) involved 82.7% of the 509 cases. One- and five-yr graft survival rates were 84.7% and 72.6%, respectively. Split grafts, center volume <20, GRWR ≥4.0%, and steroid-free immunosuppression regimen were independent risk factors for graft survival. In conclusion, the dramatic expansion of pediatric liver transplant programs in mainland China has enabled improved survival for those children affected by this devastating disease. However, screening of BA in neonates should be emphasized throughout the country to enhance early referrals for KP.
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