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Adult living donor liver transplantation using a right hepatic lobe
M E Wachs1, T E Bak, F M Karrer
1Division of Transplant Surgery, University of Colorado Health Sciences Center, Denver, USA.
Background:
Living donor liver transplantation has gained wide acceptance as an alternative for children with end-stage liver disease. The standard left lateral segment used in this operation does not provide adequate parenchymal mass to broaden its application to larger children or adults.
Methods:
We report two cases of adult to adult living donor liver transplantation using a right hepatic lobe in patients with chronic liver disease.
Results:
Both recipients experienced excellent initial graft function and have normal liver function 4 and 9 months postoperatively. Both donors are alive and well and returned to normal life 4 weeks postoperatively.
Conclusions:
Our initial experience suggests that this technique is a safe and reliable option for adults with chronic end-stage liver disease. A conservative application of this procedure in the adult population could significantly reduce the mortality on the adult waiting list.