Asian Transplantation Week 2016Case reportIn Situ Posterior Graft Segmentectomy for Large-for-Size Syndrome in Deceased Donor Liver Transplantation in Adults: A Case Report
Section snippets
Discussion
LFSS is controversial in pediatric living donor liver transplantation patients and is associated with a poor graft outcome due to vascular complications or graft necrosis. Similar situations in DDLT in adults (ie, a whole liver donated from a large donor is transplanted into a small recipient) have not been reported frequently, and there are no official guidelines worldwide [1]. Deceased donation is extremely limited in Japan, and when a larger liver is allocated for a very sick small recipient
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Cited by (6)
In Situ Left Lateral Sectionectomy in Deceased Donor Liver Transplantation: Could This Be Another Solution for a Large-for-Size Graft? A Case Report
2019, Transplantation ProceedingsCitation Excerpt :Using this model, our graft had an estimated 44.8% risk of being LFS for our recipient. When faced with unexpected LFS graft intraoperatively, a delayed wound closure via negative pressure wound therapy or in situ right lobe surgical modification is currently performed [7,8]. In general, the right hemiliver of the graft causes compression of IVC; therefore, a right lobe reduction is thought to be appropriate after LT. However, if the patient is unstable with ongoing coagulopathy, right liver modification might not be the most appropriate procedure.
Clinical application of split liver transplantation technique
2022, Organ TransplantationLarge-for-Size Orthotopic Liver Transplantation: a Systematic Review of Definitions, Outcomes, and Solutions
2020, Journal of Gastrointestinal Surgery
This study was supported in part by a grant for research on hepatitis from the Ministry of Health, Labour and Welfare of Japan (16fk0210303h0003).