title: Living-donor liver transplantation with monosegments.
abstract: BACKGROUND
  Living-donor liver transplantation is now an established technique to treat children with end-stage liver disease. Implantation of left-lateral segment grafts can be a problem in small infants because of a large-for-size graft. We report 10 cases of transplantation using monosegment grafts from living donors.
  
  
  METHODS
  Of 506 children transplanted between June 1990 and June 2002, 10 patients (median age 196 days, median weight 5.9 kg) received monosegment living-donor liver transplants. The indication for using this technique was infants with an estimated graft-to-recipient weight ratio of over 4.0%.
  
  
  RESULTS
  Graft and patient survival was 80.0%. There were no differences in donor operation time and blood loss between monosegmentectomy and left-lateral segmentectomy (n=281). Monosegmental transplantation had a high incidence of vascular complications (20.0%).
  
  
  CONCLUSIONS
  Monosegmental living- donor liver transplantation is a feasible option with satisfactory graft survival in small babies with liver failure.
authors.affiliation: Organ Transplant Unit, Kyoto University Hospital, Kyoto, Japan. mureo@kuhp.kyoto-u.ac.jp.
authors.forename: Mureo
authors.initials: M
authors.lastname: Kasahara
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kaihara
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Oike
authors.forename: Takashi
authors.initials: T
authors.lastname: Ito
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fujimoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ogura
authors.forename: Kohei
authors.initials: K
authors.lastname: Ogawa
authors.forename: Mikiko
authors.initials: M
authors.lastname: Ueda
authors.forename: Mohamed
authors.initials: M
authors.lastname: Rela
authors.forename: Nigel
authors.initials: N
authors.lastname: D Heaton
authors.forename: Koichi
authors.initials: K
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D005260:Female; D006085:Graft Survival; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D019520:Living Donors; D008297:Male; D008875:Middle Aged