Abstract
The paucity of donor lungs has become a challenging problem, particularly for small or paediatric recipients where the difficulty in organ size matching often leads to prolonged waiting time and/or increased waiting list mortality. To allow larger lungs to be downsized for use in smaller recipients, many Centres adopted pulmonary tailoring (by means of a peripheral wedge resection or lobectomy), others used lobar transplantation, but no general agreement on this procedure is present yet. Aim of our study was to compare waiting list time, perioperative complications, mortality and long term survival of patients with size-reduced lung transplantation (Group A) with recipients of size-matched lung grafts (Group B).
Published Version
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