SINGLE ORIFICE VEIN RECONSTRUCTION FOR MULTIPLE HEPATIC VEINS IN LIVING DONOR ADULT LIVER TRANSPLANTATION USING A LEFT LIVER GRAFT

2008 ◽  
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T Noritomi ◽  
K Mikami ◽  
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T Shinohara ◽  
...  
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Vol 90 ◽  
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BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stefan M. Brunner ◽  
Frank W. Brennfleck ◽  
Henrik Junger ◽  
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Abstract Background Risks for living-liver donors are lower in case of a left liver donation, however, due to lower graft volume, the risk for small-for-size situations in the recipients increases. This study aims to prevent small-for-size situations in recipients using an auxiliary two-staged partial resection liver transplantation (LTX) of living-donated left liver lobes. Case presentation Two patients received a two-stage auxiliary LTX using living-donated left liver lobes after left lateral liver resection. The native extended right liver was removed in a second operation after sufficient hypertrophy of the left liver graft had occurred. Neither donor developed postoperative complications. In both recipients, the graft volume increased by an average of 105% (329 ml to 641 ml), from a graft-to-body-weight ratio of 0.54 to 1.08 within 11 days after LTX, so that the remnant native right liver could be removed. No recipient developed small-for-size syndrome; graft function and overall condition is good in both recipients after a follow-up time of 25 months. Conclusions Auxiliary two-staged partial resection LTX using living-donor left lobes is technically feasible and can prevent small-for-size situation. This new technique can expand the potential living-donor pool and contributes to increase donor safety.


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