Concomitant caudate lobe resection as an option for donor hepatectomy in adult living related liver transplantation.
In this article, we describe a successful adult living related partial liver transplantation (LRLT) using the left lobe with the left-side caudate lobe (the Spiegel lobe and the left side of the paracaval portion). The size of the donor's left lobe was 29% of the recipient's standard liver volume and did not seem to meet our criteria for adult-to-adult LRLT. However, the donor had a thick left-side caudate lobe. The estimated volume of the left lobe with the left-side caudate lobe was 32%, which met our criteria for the adult recipient. The recipient's CT scan on day 87 after transplantation showed the preserved blood flow and no biliary congestion in the left-side caudate lobe, which suggests maintenance of lobe function. This procedure may be an option for adult-to-adult LRLT in which the donor has a thick left-side caudate lobe.
Miyagawa
S
S
First Department of Surgery, Shinshu University, School of Medicine, Matsumoto, Japan. smiyagawa@surg101.shinshu-u.ac.jp
Hashikura
Y
Y
Miwa
S
S
Ikegami
T
T
Urata
K
K
Terada
M
M
Kubota
T
T
Nakata
T
T
Kawasaki
S
S
D000328:Adult; D005260:Female; D006801:Humans; D008099:Liver / Q000033:anatomy & histology / Q000098:blood supply; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008875:Middle Aged; D014057:Tomography, X-Ray Computed