Small-for-size partial liver graft in an adult recipient; a new transplant technique.
We report a new technique of adult liver transplantation using a small-for-size graft. In order to avoid graft congestion and failure by overperfusion, we completely diverted the superior mesenteric venous flow by a mesocaval shunt with downstream ligation of the superior mesenteric vein. The recipient recovered well, and the graft had normal histology and function at 5 months follow-up. Given the current scarcity of cadaveric donors, this technique may increase the numbers of adult recipients by using left lobes from cadaveric split liver grafts.
Boillot
Olivier
O
Delafosse
Bertrand
B
Méchet
Isabelle
I
Boucaud
Catherine
C
Pouyet
Michel
M
D000818:Animals; D005260:Female; D006085:Graft Survival; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008875:Middle Aged; D009929:Organ Size; D011167:Portacaval Shunt, Surgical; D011184:Postoperative Period; D013552:Swine