Abstract
Pediatric liver transplantation is an established treatment. The 1- and 10-year survival rates for pediatric liver-transplanted patients are 88.5% and 83.2% in the Japanese registry. Recently, there have been several evolutions and challenges in the specialty of pediatric liver transplantation, such as overcoming the graft-size matching and posttransplantation lymphoproliferative disorder. Because most donor sources are living donors in Japan, their safety would be imperative. An urgent need exists to expand the donor pool, including split-liver transplantations, because of the shortage of deceased donor liver transplantations in Japan.
