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Current status of auxiliary partial orthotopic liver transplantation for acute liver failure
Author(s) -
Rela Mohamed,
Kaliamoorthy Ilankumaran,
Reddy Mettu Srinivas
Publication year - 2016
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.24509
Subject(s) - medicine , liver transplantation , orthotopic liver transplantation , liver failure , current (fluid) , intensive care medicine , transplantation , gastroenterology , electrical engineering , engineering
Auxiliary partial orthotopic liver transplantation (APOLT) is a technique of liver transplantation (LT) where a partial liver graft is implanted in an orthotopic position after leaving behind a part of the native liver. APOLT was previously considered technically challenging with results inferior to orthotopic liver transplantation. Results of this procedure have continued to improve with improving surgical techniques and a better understanding of the natural history of acute liver failure (ALF) and liver regeneration. The procedure is being increasingly accepted as a valid treatment option for ALF—especially in children. This article reviews the historical background to this operation, advances in the technique, and its current place in the management of ALF. Liver Transplantation 22 1265–1274 2016 AASLD