Do Cold Ischemia and Transfusion Affect Pediatric Transplant Outcomes?

The higher intraoperative blood transfusion volume in the LDLT group is presumed to be associated with postoperative chronic rejection, chylous leakage, and mortality. In the DBD group, the higher incidence of hepatic artery stenosis/thrombosis is closely related to the longer cold ischemia time. Improving surgical techniques, completing the learning curve, reducing cold ischemia time, and minimizing intraoperative blood transfusions are expected to enhance transplant success rates and improve patient outcomes.