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In situ split liver transplantation for two adult recipients from one donation after brain death liver graft
Author(s) -
Zang YunJin,
Guo Yuan,
Fan Ning,
Wang Xin,
Guan Ge,
Sun YanDong,
Xin Yang
Publication year - 2017
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12267
Subject(s) - medicine , liver transplantation , surgery , vein , artery , transplantation , inferior vena cava , left lobe
Split liver transplantation (LT) provides two functional partial grafts from one deceased donor liver. Split liver grafts are most commonly shared by a child and an adult. In the present study, we present our technique of in situ split LT for two adult recipients. In the right lobe graft, V5 and V8 were reconstructed using the donor's iliac vein to drain the anterior segment. In the second recipient, the inferior vena cava was incised and connected to three hepatic veins to create greater outflow. The middle hepatic artery was reconstructed with gastroduodenal artery to make one artery branch in the left lobe. In situ split LT for two adults is safe and feasible in select donor–recipient‐matching cases.