title: Split liver transplantation (SLT).
abstract: OBJECTIVE
  In the last three decades liver transplantation (LT) has become a standard procedure for terminal liver failure. Anyway the procedure is highly limited by the availability of donor organs. The use of segmental liver grafts from living or cadaver donors are an attractive way to increase the donor pool for LT in adults and children.
  
  
  METHODS
  Between 1991 and April 1999 we performed 647 liver transplantations in 416 adults and 231 children. 431 OLT, 124 SLT and 92 LRLT. Commonly used segmental liver grafts are the full right graft, the full left graft, the left lateral lobe graft and the right extended graft from living or cadaver donors respectively.
  
  
  RESULTS
  The 1-year survival of elective SLT in adults is 80.5% and in children 84.3% (SLT + LRLT).
  
  
  CONCLUSIONS
  Splitting procedures in liver transplantation are a promising completion to whole organ transplantations. The results of split liver (SLT) and living related liver transplantations (LRLT) are comparable to whole organ transplantations. These methods are able to increase the organ pool and thus decrease the pretransplant mortality both in children and adults.
authors.affiliation: Department of Hepatobiliary Surgery, University Hospital Eppendorf, Hamburg, Germany. gundlach@uke.uni-hamburg.de
authors.forename: M
authors.initials: M
authors.lastname: Gundlach
authors.forename: S
authors.initials: S
authors.lastname: Topp
authors.forename: D
authors.initials: D
authors.lastname: Bröring
authors.forename: X
authors.initials: X
authors.lastname: Rogiers
mesh_terms: D000328:Adult; D002648:Child; D006085:Graft Survival; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods* / Q000401:mortality / Q000502:physiology; D019520:Living Donors; D015996:Survival Rate; D014019:Tissue Donors / Q000600:supply & distribution; D020858:Tissue and Organ Harvesting / Q000379:methods*