A case report of split liver transplantation for two adult recipients in Korea

Hwang, Shin; Lee, S.G.; Park, K.M.; Kim, K.H.; Ahn, Curie; Moon, Deok Bog; Ha, Tae-Yong

doi:10.1016/j.transproceed.2004.09.042

Cited by 16 publications

(13 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24 In contrast to conventional reconstruction of only 1 or 2 large segment V and/or segment VIII vein(s), our technique of splitting the MHV creates 2 grafts whose venous drainage is the closest possible to the physiologic situation since all veins, not only the major ones, draining into the MHV, can be preserved. The reconstruction of the missing half of the MHV 25,31 and some with the right graft 13,26 -28,30 if performing a true full-right full-left split, since the surgeons who are performing full-right full-left splits are adopting the living donor operation to the procedure in the deceased donor. By leaving segment I with the right graft, there is consensus that the vena cava should stay with the right graft.…”

Section: Discussionmentioning

confidence: 99%

“…The possibility of sharing the MHV between both grafts represents a significant advantage of the ex situ technique. Complete transformation of the living donor procedure to the in situ splitting technique as described by some authors 25,29 ignores the possibility of gaining full benefit to the anatomy of the deceased donor liver, especially the vena cava.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Technical Refinements and Results in Full-Right Full-Left Splitting of the Deceased Donor Liver

Bröering

Wilms²,

Lenk³

et al. 2005

Annals of Surgery

View full text Add to dashboard Cite

The technical development of splitting along Cantlie's line is almost complete with the last challenge being the reduction of biliary complications. The key to success is the choice of adequate deceased donors and recipients. Full-right full-left splitting is safely possible and should be considered as a reasonable instrument to alleviate mortality on the adult waiting list and to reduce the need for adult and adolescent living donation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Technical Refinements and Results in Full-Right Full-Left Splitting of the Deceased Donor Liver

Bröering

Wilms²,

Lenk³

et al. 2005

Annals of Surgery

View full text Add to dashboard Cite

show abstract

“…In 2001 Azoulay et al at Paul Brousse Hospital reported the first large series of liver splitting for two adult recipients (27). Other series were subsequently reported with more than encouraging results (28–35).…”

Section: Introductionmentioning

confidence: 99%

Full-Right-Full-Left Split Liver Transplantation: The Retrospective Analysis of an Early Multicenter Experience Including Graft Sharing

Zambelli

Andorno²,

Carlis

et al. 2012

American Journal of Transplantation

View full text Add to dashboard Cite

Full-right-full-left split liver transplantation divides a donor liver into two grafts to be transplanted in adultsize patients. Major technical and organizational difficulties have limited its application to few single center series. We retrospectively analyzed the long-term results of the first multicenter series of this procedure with graft sharing. Between November 1998 and January 2005, 43 transplants were performed by five centers from 23 full-right-full-left in situ split liver procedures; 65% of the grafts were shared. A total of 31 (72%) patients had complications above grade II; 3 (6.9%) were retransplanted. Hospital mortality was 23% with sepsis as the main cause. Six patients died in the long term, two of them for a road accident. A total of 27 patients are alive after a median follow-up of 3200 days (2035-4256). Actuarial survival at 1 and 10 years were 72.1%, 62.6% and 65.1%, 57.9%, respectively for patients and grafts. These figures are similar to those reported for adult living donor liver transplantation by the European Registry over a similar period. Multicenter collaboration in sharing of these grafts is feasible and can help facing the organizational limits, thus increasing diffusion of full-right-full-left split liver transplantation.

show abstract

“…The surgical techniques for two-adult SLT are described in detail elsewhere [ 12 ]. The liver anatomy was evaluated using CT, ultrasonography, and intraoperative cholangiography.…”

Section: Methodsmentioning

confidence: 99%

In Situ Split Liver Transplantation for 2 Adult Recipients: A Single-Center Experience

et al. 2017

View full text Add to dashboard Cite

BackgroundSplit liver transplantation (SLT) for 2 adult patients by in situ splitting is rarely reported. This study analyzed the outcomes of SLT for 2 adult recipients at a single center.Material/MethodsFrom 2003 to 2014, we performed 16 adult SLTs from 8 deceased donors using in situ splitting technique. We investigated the results of SLT and compared the outcomes of SLT with those of 393 cases of primary whole liver transplantation (WLT).ResultsAll SLT donors were male. Eight recipients received right liver graft. Seven recipients received left liver graft. One recipient received dual-donor liver transplantation with 2 left-liver grafts (1 left liver graft from a living donor). The mean age of the recipients was 49.6±7 years. The Model for End-Stage Liver Disease (MELD) score of the recipients was 21.3±8.6. The mean cold ischemic time was 345.6±311.7 minutes. Graft and patient survival rates were 75.0% and 81.3%, respectively, at both 1 year and 5 years. There were 2 cases of biliary complication and 3 cases of vascular complication, but no incidence of arterial complication or small-for-size graft syndrome. The donor age of the SLT group was younger than that of the WLT group (p<0.001). The MELD score of the SLT group was lower than that of the WLT group (p=0.01). Patient and graft survival rates did not differ significantly between the SLT and WLT groups (p=0.47 and p=0.78, respectively).ConclusionsIn situ SLT for 2 adults is a feasible option to expand door pools in selected situations.

show abstract

A case report of split liver transplantation for two adult recipients in Korea

Cited by 16 publications

References 13 publications

Technical Refinements and Results in Full-Right Full-Left Splitting of the Deceased Donor Liver

Technical Refinements and Results in Full-Right Full-Left Splitting of the Deceased Donor Liver

Full-Right-Full-Left Split Liver Transplantation: The Retrospective Analysis of an Early Multicenter Experience Including Graft Sharing

In Situ Split Liver Transplantation for 2 Adult Recipients: A Single-Center Experience

Contact Info

Product

Resources

About