[ISPHLT-SY4-4] Current status of pediatric lung transplantation in Japan
Between 1998 and 2021, lung transplantation has been performed in 861 patients (108 children, 753 adults) at nine lung transplant centers in Japan. CLT was performed in 601 patients (69.8%), LDLLT was performed in 257 patients (29.8%) and Hybrid lung transplantation (LDLLT+CLT) in 3 patients.
Among 108 pediatric patients, only 26 children (24.1%) received CLT and 82 children (75.9%) received LDLLT. For pediatric patients younger than 10 years old, only 11 CLTs was performed due to shortage of pediatric cadaveric donors.
In 26 pediatric patients receiving CLT, the 5-year survival was 77.4%. In 82 pediatric patients receiving LDLLT, the 5 and 10-year survivals were 85.3% and 78.9%, respectively. Although the number of pediatric patients was small, pediatric lung transplant recipients showed a trend toward better long-term survival than adult patients.
Among 108 pediatric patients, only 26 children (24.1%) received CLT and 82 children (75.9%) received LDLLT. For pediatric patients younger than 10 years old, only 11 CLTs was performed due to shortage of pediatric cadaveric donors.
In 26 pediatric patients receiving CLT, the 5-year survival was 77.4%. In 82 pediatric patients receiving LDLLT, the 5 and 10-year survivals were 85.3% and 78.9%, respectively. Although the number of pediatric patients was small, pediatric lung transplant recipients showed a trend toward better long-term survival than adult patients.