title: [Auxiliary partial orthotopic liver transplantation using small grafts. A way to avoid small-for-size syndrome?].
abstract: If the ratio liver graft weight/recipient body weight ratio is below 0.8%, there is a high risk of primary non function of the graft in almost 50% of cases. We report the first elective Auxiliary Partial Orthotopic Liver Transplantation using a small cadaveric left graft for cirrhosis. The graft weight/recipient body weight rate was 0.6%. This technique avoided the small-for-size syndrome in the early postoperative period. The native right liver was resected two months later. With a follow-up of 5 years, the patient is in good condition. This original technique could be a solution to increase the number of transplantations using small grafts, especially left grafts, provided by splits or living donors.
authors.affiliation: Centre Hépato-biliaire, Hôpital Paul Brousse, 12 avenue Paul Vaillant Couturier, 94800 Villejuif cedex, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Scatton
authors.forename: Daniel
authors.initials: D
authors.lastname: Azoulay
authors.forename: Denis
authors.initials: D
authors.lastname: Castaing
authors.forename: Antoinette
authors.initials: A
authors.lastname: Lemoine
authors.forename: Philippe
authors.initials: P
authors.lastname: Ichai
authors.forename: René
authors.initials: R
authors.lastname: Adam
authors.forename: Didier
authors.initials: D
authors.lastname: Samuel
authors.forename: Henri
authors.initials: H
authors.lastname: Bismuth
mesh_terms: D001835:Body Weight; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control