Adult living donor liver transplantation using a right hepatic lobe.
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.
Wachs
M E
ME
Division of Transplant Surgery, University of Colorado Health Sciences Center, Denver, USA.
Bak
T E
TE
Karrer
F M
FM
Everson
G T
GT
Shrestha
R
R
Trouillot
T E
TE
Mandell
M S
MS
Steinberg
T G
TG
Kam
I
I
D000328:Adult; D000714:Anastomosis, Surgical; D015209:Cholangitis, Sclerosing / Q000601:surgery; D005260:Female; D006801:Humans; D017114:Liver Failure, Acute / Q000601:surgery; D016031:Liver Transplantation / Q000401:mortality; D019520:Living Donors; D008297:Male; D008875:Middle Aged