title: Liver transplantation with monosegment from a living donor.
abstract: The shortage of organ donors for low-weight liver transplant recipients, especially for small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg. We report here the case of an 8-month-old boy, weighing 6.1 kg, who received a monosegmental graft (segment III) from his grandmother weighing 68 kg. The graft was reduced at the donor surgery, before clamping of the vessels. The donor was discharged on the fourth post-operative day; the recipient had an uneventful post-operative period and was discharged after 22 days.
authors.affiliation: Clinical and Surgical Hepatology Program, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, Brazil. txhepatico@hgb.rj.saude.gov.br
authors.forename: Marcelo
authors.initials: M
authors.lastname: Enne
authors.forename: Lucio Filgueiras
authors.initials: LF
authors.lastname: Pacheco-Moreira
authors.forename: Alexandre
authors.initials: A
authors.lastname: Cerqueira
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Balbi
authors.forename: Marcia
authors.initials: M
authors.lastname: Halpern
authors.forename: João
authors.initials: J
authors.lastname: Luiz Pereira
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Santalucia
authors.forename: Josther
authors.initials: J
authors.lastname: Gracia
authors.forename: Flavia Goncalves Coelho
authors.initials: FG
authors.lastname: De Souza E Oliveira
authors.forename: Grace Kelly
authors.initials: GK
authors.lastname: Paranhos
authors.forename: Rosalice
authors.initials: R
authors.lastname: Miecznikowski
authors.forename: Lucio José Auler
authors.initials: LJ
authors.lastname: De Faria
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Pereira Diaz André
authors.forename: Adriana
authors.initials: A
authors.lastname: Caroli Bottino
authors.forename: José
authors.initials: J
authors.lastname: Manoel Martinho
mesh_terms: D001653:Bile Ducts, Intrahepatic / Q000002:abnormalities; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D009929:Organ Size