Right lateral sector graft in adult living-related liver transplantation.
作者信息
Sugawara Yasuhiko, Makuuchi Masatoshi, Takayama Tadatoshi, Imamura Hiroshi, Kaneko Junichi
机构信息
Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
出版信息
Transplantation. 2002 Jan 15;73(1):111-4. doi: 10.1097/00007890-200201150-00021.
BACKGROUND
A major concern regarding adult living-related liver transplantation (LRLT) is graft-size disparity. The authors report their experience with LRLT using the right lateral sector.
PATIENTS AND METHODS
Between January 2000 and April 2001, 32 adult-to-adult LRLTs were performed at our institution. Of these, six patients received a right lateral sector (RLS, segments VI and VII according to Couinaud's nomenclature for liver segmentation) graft. The right liver was over 70% of the estimated volume of the whole donor liver. The estimated RLS volume was greater than that of the left liver, which was over 40% of the recipient's standard liver volume.
RESULTS
The postoperative course was uneventful in all donors. All of the patients survived the operation. Three patients were complicated with bile leakage from the dissection plane of the graft. Four patients suffered from acute rejection.
CONCLUSIONS
RLS graft obtained by this procedure may be useful for overcoming borderline graft-recipient size differences and expanding the donor pool.
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