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The conventional technique in in-situ split-liver transplantation
Hasan Yersiz1, John F Renz, Garrett M Hisatake
1Dumont- UCLA Transplant Center, Los Angeles, CA 90095, USA.
Journal of Hepato-Biliary-Pancreatic Surgery
|August 16, 2003
Summary
Split-liver transplantation expands donor availability for pediatric and adult recipients. This technique improves outcomes, reduces wait times, and decreases reliance on living donors.
Area of Science:
- Surgical innovation in organ transplantation.
- Hepatobiliary surgery and transplantology.
Background:
- Split-liver transplantation is a surgical technique to increase donor liver availability.
- Currently, it is primarily used in pediatric recipients with successful outcomes.
- This success has prompted interest in applying it to adult recipients.
Purpose of the Study:
- To detail the technical considerations for split-liver transplantation in adult recipients.
- To describe the creation of pediatric and adult grafts using the in situ split procedure.
- To summarize the current outcomes of split-liver transplantation.
Main Methods:
- Description of the conventional in situ split procedure.
- Techniques for creating a pediatric left lateral segment graft.
- Techniques for creating an adult trisegment graft.
Main Results:
- Split-liver transplantation has demonstrated excellent outcomes in pediatric recipients.
- The technique expands the cadaver donor pool.
- Reduced wait-list times and morbidity in pediatric patients.
Conclusions:
- Split-liver transplantation is a viable option for increasing donor liver availability.
- The technique shows promise for expanding to adult recipients.
- Further research into adult split-liver transplantation outcomes is warranted.