[Auxiliary partial orthotopic liver transplantation using small grafts. A way to avoid small-for-size syndrome?].
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.
Scatton
Olivier
O
Centre Hépato-biliaire, Hôpital Paul Brousse, 12 avenue Paul Vaillant Couturier, 94800 Villejuif cedex, France.
Azoulay
Daniel
D
Castaing
Denis
D
Lemoine
Antoinette
A
Ichai
Philippe
P
Adam
René
R
Samuel
Didier
D
Bismuth
Henri
H
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