Anatomy of reducing left liver lobe grafts and monosegmental liver transplantation: Tell it as it is

Goyet, Jean de Ville de

doi:10.1111/petr.14145

Cited by 1 publication

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The scenario involving neonatal and infantile transplantation has evolved over time, and many of the available techniques fulfill most of these goals. The left lateral segment (LLS) graft, used in such cases either from live donors or deceased donors, received a series of “extra” resections 1 so as to modulate the final graft‐to‐recipient weight ratio (GRWR) to less than 4%, 2 and prevent the occurrence of large‐for‐size syndrome.…”

Section: Introductionmentioning

confidence: 99%

Anterior hepatic resection: A simple and safe technique for reducing the antero‐posterior diameter of the liver graft for small pediatric recipients

Neto

Costa

Pereira

et al. 2023

Pediatric Transplantation

View full text Add to dashboard Cite

Background:The techniques involved in neonatal and infantile transplantation require approaches that can sculpt a left lateral segment (LLS) to the right shape and size and avoid large-for-size syndrome. The aim of this article is to describe the anterior hepatic resection (AHR) of the LLS in pediatric LDLT. Methods:A retrospective anatomical study of preoperative image studies, description of the technique for AHR, and short-term results. Results:The AHR was performed in eight cases. All donors were male, with average age, BW, and BMI of 28.3 ± 5.9 years, 74.2 ± 9.3 kg, and 24.3 ± 2.6 kg/m2, respectively. Donors were discharged at an average of 3.6 ± 0.8 days. The median recipient age and BW at transplantation were 6.9 (2.7 to 11) months and 5.9 (3.9 to 8) kg, respectively, and the recipient-to-donor body weight ratio (RDBW) was <0.1 in all but one case.The mean percentage reduction in graft weight and in the antero-posterior diameter were 33.2% ± 5.5% and 38.3% ± 12.6%, respectively. The average (SD) GRWR was 4.8% ± 1.7% before all the resections and 3.5% ± 1.0% after the procedures. Seven patients were primarily closed. Conclusion:After LLS resection, a nonanatomical anterior resection of the LLS was accomplished without hilar vascular dissection to segments II/III. The final liver graft allowed primary abdominal wall closure in all but one patient, with meaningful adjustments in GRWR. AHR proved to be simple, safe, reproducible, and effective in the presented case series.

show abstract

Section: Introductionmentioning

confidence: 99%