Challenges for pediatric liver transplantation in mainland China: Where we are and where to go. Reflections from worldwide largest pediatric liver transplantation program.

In China pediatric liver transplantation (PLT) has become a safe and standardized procedure. Innovations and measures to further improve long-term survival and quality of life for children should be the next focus. In particular better strategies related to the surgical treatment of high-risk recipients as well as the long-term follow-up of pediatric liver recipients have to be addressed. A particular attention should be given to children presenting significant co-morbidities and those needing retransplantation. A tight multidisciplinary follow-up system addressing both short- and long-term issues of pediatric liver recipients is still a challenge for the Chinese pediatric transplant community.