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Use of a Right Lateral Sector Graft in Living Donor Liver Transplantation Is Feasible, but Special Caution Is Needed With Respect to Liver Anatomy
Author(s) -
Kokudo T.,
Hasegawa K.,
Arita J.,
Yamamoto S.,
Kaneko J.,
Akamatsu N.,
Sakamoto Y.,
Makuuchi M.,
Sugawara Y.,
Kokudo N.
Publication year - 2016
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.13604
Subject(s) - medicine , liver transplantation , surgery , complication , anastomosis , living donor liver transplantation , transplantation , mortality rate , retrospective cohort study , survival rate
Right lateral sector ( RLS ) grafting has been introduced to enlarge the potential donor pool for living donor liver transplantation ( LDLT ); however, evidence of its feasibility is limited. Data from 437 LDLT s carried out between 2000 and 2013 were analyzed retrospectively. LDLT s using a right liver graft (n = 251) were compared with those using a RLS graft (RLSG; n = 28). No donor mortality occurred, and the major complication rates were similar between the two groups. Postoperative liver function preservation was better in the RLS G donors. Concerning the recipients, the mortality and overall survival rates were similar between the two groups. The complication rate for the recipients was higher when more than two arterial or biliary anastomoses were necessary. A systematic literature search identified four reports on LDLT using RLS Gs. Among 66 LDLT s, including the present series, there were no cases of donor death, and the rates of major and minor complications in the donors were 6% and 29%, respectively. The major complication and overall mortality rates in the recipients were 29% and 6%, respectively. LDLT using an RLS G is feasible, with an acceptable survival rate among the recipients.