Comparison of clinical outcomes between ABO-incompatible and ABO-compatible pediatric liver transplantation: a systematic literature review and meta-analysis

Meta-analysis of 7,461 pediatric liver transplant patients demonstrates ABO-incompatible grafts have significantly lower patient and graft survival rates at 1, 3, 5, and 10 years compared to ABO-compatible transplants, though complication rates are similar. ABO-incompatible transplantation remains a critical life-saving option when compatible donors are unavailable.