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Successful liver transplant for 5-year-old child with complicated pathology

This is the youngest liver transplant with complicated pathology at the hospital. According to the patient’s mother, in July 2021, baby DM underwent liver resection due to malignant hepatoblastoma at Children’s Hospital 2 – Ho Chi Minh City. After surgery, the tumor continued to grow in the remaining liver. Baby M received 10 cycles of chemotherapy at home and abroad (Thailand). However, the tumor did not respond to treatment, the tumor marker (AFP) not only did not decrease but continued to increase very high. Doctors said that a liver transplant was the only option to cure the baby.

Successful liver transplant for a 5-year-old child with complicated pathology - 1

Lieutenant General Prof. Dr. Mai Hong Bang – Director of 108 Central Military Hospital visited and encouraged baby M 1 week after the transplant.

The family took the baby to the 108 Central Military Hospital to find a chance for a liver transplant.

According to Colonel Dr. Le Van Thanh – Deputy Director of the Institute of Digestive Surgery, CNK Liver and Pancreatic Surgery, 108 Central Military Hospital, this is the youngest liver transplant with complicated and difficult pathology at the hospital. . The baby’s condition is weak, weighing less than 15kg due to 10 consecutive chemotherapy treatments. After chemotherapy, bone marrow suppression, anemia, and decreased white blood cells appear.

After consultation with the hospital’s expert panel, the liver transplant team performed laparoscopic surgery to remove 2 lower lobes of the left liver from a living donor (the patient’s aunt) for a pediatric liver transplant. After 7 hours, the transplant was successfully performed.

Laparoscopic graft removal surgery is one of the difficult techniques, requiring the surgeon’s experience level, modern and synchronous equipment and machinery. This method brings many benefits to liver donors such as less invasive intervention, which reduces postoperative pain better than open surgery, faster recovery time, high aesthetics while the results are equivalent to open surgery. The donor leaves the hospital healthy 5-6 days after surgery.

After 1 week of transplantation, health baby M’s is stable, he is fully awake, speaks well, moves quickly, eats well, has good liver function; respiratory parameters, hemodynamics,… within normal limits.

This is the third time that 108 Central Military Hospital has performed laparoscopic surgery to remove a liver transplant from a living donor. Currently, in the world, there are only a handful of Hepatobiliary and Liver Transplantation Centers in countries with developed medicine such as the US, Europe, Japan, and Korea that can perform laparoscopic resection. liver transplant from a living donor.

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