Three-Dimensional Printing in Pediatric Living Donor Liver Transplantation Planning

Living donor liver transplantation (LDLT) is extensively adopted to expand the donor pool. Major issues are related to donor (future liver remnant as well as vascular and biliary complications) and recipient (adequate graft volume) safety. Complications can be avoided thanks to an appropriate pre-surgical strategy. In 2019 Wang et al. reported a systematic use of 3-Dimensional (3D) Printing for LDLT planning, reporting better outcomes for donors and recipients (1). We applied this method in our last LDLT. A 4-year-old child with biliary atresia underwent to Kasai procedure at birth followed by progressive hepatic failure with indication to transplant.