title: Small-for-size partial liver graft in an adult recipient; a new transplant technique.
abstract: 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.
authors.forename: Olivier
authors.initials: O
authors.lastname: Boillot
authors.forename: Bertrand
authors.initials: B
authors.lastname: Delafosse
authors.forename: Isabelle
authors.initials: I
authors.lastname: Méchet
authors.forename: Catherine
authors.initials: C
authors.lastname: Boucaud
authors.forename: Michel
authors.initials: M
authors.lastname: Pouyet
mesh_terms: 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