Liver transplantation with monosegment from a living donor.
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.
Enne
Marcelo
M
Clinical and Surgical Hepatology Program, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, Brazil. txhepatico@hgb.rj.saude.gov.br
Pacheco-Moreira
Lucio Filgueiras
LF
Cerqueira
Alexandre
A
Balbi
Elizabeth
E
Halpern
Marcia
M
Luiz Pereira
João
J
Santalucia
Giuseppe
G
Gracia
Josther
J
De Souza E Oliveira
Flavia Goncalves Coelho
FG
Paranhos
Grace Kelly
GK
Miecznikowski
Rosalice
R
De Faria
Lucio José Auler
LJ
Pereira Diaz André
Rodrigo
R
Caroli Bottino
Adriana
A
Manoel Martinho
José
J
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