- From
- Malaysia
- Hospital for treatment
- Renji Hospital, Shanghai Jiao Tong University School of Medicine
- Disease
- biliary atresia
- Treatment/medical stage
- Related-related liver transplantation from mother's liver
Further treatment is required after previous surgery
Kayla, who is from Malacca, suffers from biliary atresia and underwent Kasai surgery when she was about one month old. Since then, she has suffered from recurring fevers, jaundice and poor nutritional status. The University of Malaya Medical Center recommends that family members learn about liver transplantation and contact Xia Qiang’s team at Shanghai Renji Hospital.
Cross-border assessment and ethical review
The two parties communicated about the condition remotely, and the family prepared funds and procedures for coming to China. The mother is evaluated as a proposed donor, and relevant transplant arrangements undergo ethical review and other procedures. This case is a related liver transplant: the mother donates part of her liver, rather than waiting for a liver from an unknown source.
Mother and daughter underwent surgery together
The team performed laparoscopic liver harvesting for the mother and performed liver transplantation for the child. Abdominal adhesions caused by previous surgeries and small blood vessel anastomoses in young children increased the difficulty of the operation; the perioperative team took care of both the donor and the recipient at the same time.
Return to Malaysia after recovery
Reports recorded that the child recovered well about two weeks after the operation, and the family subsequently returned to Malaysia. Long-term work after transplantation also includes taking medications as prescribed, review and infection monitoring. This case illustrates the collaborative process of overseas referral, donor-recipient assessment, and the pediatric transplant team.
Report source
- 来自
- 马来西亚
- 就诊医院
- 上海交通大学医学院附属仁济医院
- 疾病
- 胆道闭锁
- 治疗／就医阶段
- 母亲供肝的亲体肝移植
既往手术后仍需进一步治疗
来自马六甲的凯拉患有胆道闭锁，出生约一个月时接受葛西手术，此后仍出现反复发热、黄疸和营养状况不佳。马来亚大学医学中心建议家人了解肝移植，并与上海仁济医院夏强团队联系。
跨境评估与伦理审查
双方通过远程方式交流病情，家人筹备资金及来华手续。母亲作为拟供者接受评估，相关移植安排经过伦理审查等程序。这个案例属于亲体肝移植：由母亲捐献部分肝脏，不是等待来源不明的供肝。
母女共同接受手术
团队为母亲实施腹腔镜供肝获取，为患儿进行肝移植。此前手术造成的腹腔粘连、幼儿细小的血管吻合等，增加了操作难度；围手术期团队同时照顾供者与受者。
恢复后返回马来西亚
报道记载，患儿术后约两周恢复良好，家庭随后返回马来西亚。移植后的长期工作还包括按医嘱用药、复查与感染监测。该案例展示了海外转诊、供受者评估与儿童移植团队的合作过程。