Introduction: In children with end-stage renal disease, chronic liver failure or acute liver failure, liver (LT) and kidney transplant (KT) is the most effective modality leading to better clinical outcomes compared to other medical or replacement therapies. On the other hand, since solid organ transplantation in children may cause complications at a higher rate, it should only be performed in centers with experience and multidisciplinary expertise. In this study we aimed to assess our LT and KT activities in 2021.

Material and Methods: Between 3 November 1975 and 31 December 2021 we have performed 701 LT and 3290 KT. 382 of these KT and 334 of these LT were pediatric. On March 15, 1990, the first living donor pediatric liver transplant was performed by our team in Turkey, Europe and the region. Between 01 January 2021 and 31 December 2021 we performed 21 LT and 114 KT. 19 of the LT and 12 of the KT we performed in 2021 were pediatric. We recorded age, gender, body mass index (BMI), comorbidities, etiologies, laboratory values and clinical outcomes of the recipients.

Results: Between 01 January 2021 and 31 December 2021we performed 19 pediatric LT and 12 pediatric KT. The mean age of the LT recipients was 3.4 years. Eight of these recipints were male. The most common etiology was biliary atresia (n=7).  All of LT’s were living related liver transplant and all recipients were relatives with their donors. The mean length of hospital stay was 17.6 days. Except 2 patients all recipients discharged successfully. 2 LT patients died in the early postoperative period due to sepsis.

The mean age of the KT recipients was 14.1 years. Four of these recipients were male. The most common etiology was vesicoureteral reflux (n=3). Except one, all of KT’s were living related kidney transplant and all recipients were relatives with their donors. The mean length of hospital stay was 4.3 days. All recipients discharged successfully.

Conclusion: Although transplant procedures for young children are more complex, they can be performed successfully in experienced transplant centers.