An adult-to-adult living donor liver transplant using dual left lobe grafts

Liver Transplantation for Hepatocellular Carcinoma in Asia

“…Further technical advances in adult LDLT, including the addition of the caudate lobe to a left lobe graft [80] and the use of right lateral sector grafts [81], were reported from Japan. In an attempt to provide adequate graft function for an adult recipient and minimize the risk of an individual donor, dual grafts from two donors for one recipient was introduced in Korea [82]. The minimum sizes of the graft in the recipient [83,84] and the remnant in the donor [85] were also described in Asian studies.…”

Renoportal anastomosis for dual-graft living donor liver transplantation using an artificial graft and a left renal vein-connected inferior vena cava cuff

“…The implantation procedures started with the hepatic vein reconstruction of the right-sided graft, which was followed by the left-sided graft, and the remaining procedures were carried out as described previously 1,2 (Fig. 1B3).…”

Dual liver transplantation

“…Lee et al (2001a) first proposed the concept of dual left lobe grafts for liver transplantation and performed the first in 2001. As of June 2008, more than two hundred dual graft liver transplantations have been successfully performed at the Asan Medical Center in Korea (Zhang et al, 2008).…”

“…With the objective of achieving maximal donor safety by minimizing the mass of resected liver, the technique of "dual liver" adult-to-adult LDLT has been introduced, in which two lobe grafts are removed from two donors and grafted into one recipient (Lee et al, 2001a;Lee et al, 2001b;Kaihara et al, 2002;Wang et al, 2006;Broering et al, 2007). Lee et al (2001a) first proposed the concept of dual left lobe grafts for liver transplantation and performed the first in 2001.…”