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Reduction of left‐lateral segment from living donors for liver transplantation in infants weighing less than 7 kg: Technical aspects and outcome
Author(s) -
Shirouzu Yasumasa,
Ohya Yuki,
Hayashida Shintarou,
Yoshii Taiki,
Asonuma Katsuhiro,
Inomata Yukihiro
Publication year - 2010
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2010.01332.x
Subject(s) - medicine , surgery , reduction (mathematics) , liver transplantation , transplantation , geometry , mathematics
Shirouzu Y, Ohya Y, Hayashida S, Yoshii T, Asonuma K, Inomata Y. Reduction of left‐lateral segment from living donors for liver transplantation in infants weighing less than 7 kg: Technical aspects and outcome. Pediatr Transplantation 2010: 14:709–714. © 2010 John Wiley & Sons A/S. Abstract: LLS reduction has been frequently used in infants weighing <7 kg. Twenty recipients weighing <7 kg at the time of LDLT, median age 11.0 months and body weight 5.6 kg, were treated with an RLLS (n = 12) or LLS (n = 8) graft. Absolute indication of size reduction was that the estimated GRWR was >4.0%. Even if the preoperative GRWR was <4.0%, the RLLS graft was considered to ensure a size match. A flatfish‐type LLS was preferred to a blowfish‐type to make an RLLS graft for such a small infantile population. The RLLS recipients had significantly more flatfish‐type grafts, while the LLS recipients had more blowfish‐type grafts. Primary full‐layer wound closure could be performed successfully in all LLS recipients, while in the RLLS group, two patients were forced to have partial skin closure. There were no graft losses related to graft compression. Reducing an LLS is a useful procedure to promote the comfortable accommodation of the graft in an infant weighing <7 kg. Flatfish‐type LLS allowed more flexibility to make the suitable volume.