Complications following Split-Liver Transplantation: A Pediatric Case Study

2002 ◽  
Vol 12 (2) ◽  
pp. 125-128
Author(s):  
Susan K. Jaskowski Phillips
Keyword(s):  
Liver Transplantation ◽  
Postoperative Complications ◽  
Organ Donor ◽  
Unknown Etiology ◽  
Donor Pool ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Donor Shortage ◽  
Cadaveric Organ

Liver transplantation using split and reduced livers has helped to expand the donor pool for pediatric patients in the presence of a severe cadaveric organ donor shortage. However, this technique has been associated with an increased rate of postoperative complications. The purpose of this paper is to review a case report of postoperative complications experienced by a pediatric patient following split-liver transplantation for fulminant hepatic failure of unknown etiology.

Enlargement of the cadaveric-liver donor pool using in-situ split-liver transplantation despite complex hepatic arterial anatomy

2003 ◽  
Vol 76 (7) ◽  
pp. 1134-1136 ◽  
Author(s):  
Alberto Nunez ◽  
Sarah E. Goodpastor ◽  
John A. Goss ◽  
W. Kenneth Washburn ◽  
Glenn A. Halff
Keyword(s):  
Liver Transplantation ◽  
Liver Donor ◽  
Donor Pool ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Arterial Anatomy ◽  
In Situ Split

SPLIT LIVER TRANSPLANTATION FOR EXPANSION OF THE DONOR POOL

1999 ◽  
Vol 67 (9) ◽  
pp. S548 ◽  
Author(s):  
R. M. Ghobrial ◽  
D. G. Farmer ◽  
H. Yersiz ◽  
J. Goss ◽  
F. Amersi ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Donor Pool ◽  
Split Liver Transplantation ◽  
Split Liver

LIVING RELATED AND SPLIT LIVER TRANSPLANTATION: A SUCCESSFUL WAY TO OVERCOME DONOR SHORTAGE.

2000 ◽  
Vol 69 (Supplement) ◽  
pp. S174 ◽  
Author(s):  
Giuliano Testa ◽  
Massimo Malagó ◽  
Maximilian Bockhorn ◽  
Martin Hertl ◽  
Hermann Janssen ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Donor Shortage ◽  
Living Related

217Increasing the donor pool for children living related and split-liver transplantation

2000 ◽  
Vol 6 (3) ◽  
pp. C54-C54
Author(s):  
G BIANCO ◽  
G CERVIO ◽  
L ROJAS ◽  
M DIP ◽  
V AYARZABA ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Donor Pool ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Living Related

Living related and split liver transplantation: A successful way to overcome donor shortage

2000 ◽  
Vol 32 ◽  
pp. 27
Author(s):  
G. Testa ◽  
M. Malagó ◽  
M. Bockhorn ◽  
C. Valentin-Gamazo ◽  
H. Janßen ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Donor Shortage ◽  
Living Related

scholarly journals Encouraging Split Liver Transplantation for Two Adult Recipients to Mitigate the High Incidence of Wait-List Mortality in the Setting of Extreme Shortage of Deceased Donors

2019 ◽  
Vol 8 (12) ◽  
pp. 2095
Author(s):  
Kun-Ming Chan ◽  
Yu-Chao Wang ◽  
Tsung-Han Wu ◽  
Chih-Hsien Cheng ◽  
Chen-Fang Lee ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Characteristic Curve ◽  
Graft Loss ◽  
Early Mortality ◽  
Organ Shortage ◽  
Wait List ◽  
Donor Pool ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Graft Weight

Background: Organ demand for liver transplantation (LT) is constantly increasing. Split liver transplantation (SPLT) is an ideal option for increasing the number of available liver grafts for transplantation and ameliorating organ shortage to a certain degree. However, SPLT for two adult recipients is still not broadly applied. Methods: We retrospectively analyzed the outcomes of SPLT for adult recipients at a single center. All donor, recipient, and transplantation factors were thoroughly investigated to clarify factors affecting patient outcomes after LT. Results: One hundred consecutive adult SPLTs were performed during the study period. Early mortality and 1-year mortality occurred in 21 and 31 recipients, respectively. On multivariate analysis, graft weight (p = 0.036, odds ratio = 0.99, 95% confidence interval = 0.98–0.99) was the independent risk factor associated with early mortality; however, no factor was significantly related to 1-year mortality. On receiver operating characteristic curve analysis, a graft weight of 580 g was identified the cutoff for stratifying outcomes. Recipients transplanted with a graft weighing ≥580 g had significantly better outcome as compared with other recipients (p = 0.001). Moreover, SPLT remarkably provided a better survival benefit for recipients than those on the LT wait-list (p < 0.0001). Conclusions: Given the considerable incidence of wait-list mortality, SPLT for two adult recipients should be encouraged whenever possible to increase the donor pool and benefit patients awaiting LT. Nonetheless, caution should be taken with a smaller graft weight owing to the risk of early graft loss.

Hemodynamic interaction between portal vien and hepatic artery flow in small-for-size split liver transplantation

2002 ◽  
Vol 15 (7) ◽  
pp. 355-360 ◽  
Author(s):  
Vassilios Smyrniotis ◽  
Georgia Kostopanagiotou ◽  
Agathi Kondi ◽  
Evangelos Gamaletsos ◽  
Kassiani Theodoraki ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Hepatic Artery ◽  
Split Liver Transplantation ◽  
Split Liver ◽  
Small For Size ◽  
Artery Flow
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