Extended lobectomy for procurement of the left lobe with caudate lobe for living-related liver transplantation.
Liver transplantation from living-related donors has been established for end-stage liver disease. In adult cases, the left lobe with a caudate lobe was transplanted in order to increase the graft volume. However, the procurement operation should be less invasive for the donor. In this article, we represent our technique by which the blood loss can be reduced during the harvesting operation. The technique was used to improve the extended left lobectomy for the procurement in 27 patients between May 1997 and December 1999 at Kyushu University Hospital. The groups included the following: 1) Procurement operation of the extended left lobe with caudate (n=9), 2) without caudate (n=18). The detailed record during the operation showed that the mean blood loss and the amount for the group with caudate was significantly smaller than that in the group without caudate. To reduce the blood loss during the procurement operation, we continue to use this technique in the living-related donors for adult recipients.
Nomoto
Kenichi
K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka 812, Japan.
Nishizaki
Takashi
T
Shimada
Mitsuo
M
Okano
Shinji
S
Minagawa
Ryosuke
R
Sugimachi
Keizo
K
D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D017093:Liver Failure / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome