摘要To the Editor:Pediatric liver transplantation is the only treatment option for end-stage liver disease in children,and the 5-year and 20-year sur-vival rates after living donor liver transplantation(LDLT)can reach 91.5％and 84.2％[1].Many Asian countries,including China,have begun to develop LDLT and achieved good progress.However,the shortage of donor livers in children remains a serious problem.Parents with hepatitis B virus,fatty liver,or blood type incom-patibility,and those with strong ethical objections are not suit-able donors,and many children have to wait for a suitable liver source.We recently have used five split discarded left lateral lobe as donor liver from living patients with caudate lobe benign tu-mors and have achieved good results.Here,we share our expe-riences of using discarded liver grafts as donor liver in pediatric liver transplantation.Both the hepatectomy and"discarded"graft procurement surgery were approved by the Medical Affairs Depart-ment and the Ethics Committee of the Huashan Hospital of Fudan University.