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Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
Published on: August 17, 2022
Polycystic liver transplant: a case report.
Ibrahim Sakcak1, Aydemir Olmez, Dincer Ozgor
1Inonu University, 44315 Malatya, Turkey.
Progress in Transplantation (Aliso Viejo, Calif.)
|June 21, 2013
Summary
Polycystic liver donors can be a viable option for transplantation if the non-cystic liver volume is sufficient. This case demonstrates successful transplantation of a pre-diagnosed polycystic liver, offering new possibilities for organ donation.
Area of Science:
- Hepatology
- Transplantation Surgery
- Organ Donation
Background:
- Liver transplantation is a critical treatment for end-stage liver disease.
- Donor organ availability remains a significant challenge in liver transplantation.
- Polycystic liver disease (PLD) in donors is rarely considered for organ procurement.
Observation:
- A liver from a brain-dead donor with incidentally discovered simple polycystic liver disease was transplanted.
- The donor liver had >50% non-cystic volume, no fibrosis, and no venous congestion.
- The recipient, a 40-year-old male with hepatitis B-related cirrhosis, underwent successful transplantation using the piggyback method.
Findings:
- The transplant was successful despite the donor having polycystic liver disease, diagnosed pre-procurement.
- The recipient experienced significant chylous ascites initially, which resolved by the second month post-transplant.
- Post-transplant computed tomography scans showed no cyst growth, indicating stability.
Implications:
- This case suggests that pre-diagnosed polycystic livers with adequate non-cystic volume are transplantable.
- It expands the potential donor pool, addressing organ shortage challenges.
- Careful donor selection and recipient monitoring are crucial for successful outcomes in such cases.
