title: Successful living donor left liver transplantation by using liver graft with multiple large cysts: a case report.
abstract: There are few reports regarding the use of liver grafts with multiple large cysts in living donor liver transplantation. A 40-year-old woman who was diagnosed with Wilson's disease underwent living donor left liver transplantation; the donor was her 67-year-old mother. The liver graft had multiple large cysts, with a maximum diameter of 9 cm. At donor hepatectomy, the largest cyst and one small cyst were fenestrated, because they were located in the left paramedian sector; the other cysts were left intact. After transplantation, the liver graft exhibited good function with no cyst-related complications, such as hemorrhage, infection, or rupture, despite slight enlargement of the cysts. Thus, a liver graft with multiple large cysts is transplantable. However, the necessity of treating large cysts remains debatable.
authors.affiliation: Department of Surgery, Hiroshima University, Hiroshima, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Amano
authors.forename: H
authors.initials: H
authors.lastname: Tashiro
authors.forename: T
authors.initials: T
authors.lastname: Itamoto
authors.forename: A
authors.initials: A
authors.lastname: Oshita
authors.forename: H
authors.initials: H
authors.lastname: Niitsu
authors.forename: H
authors.initials: H
authors.lastname: Ohdan
authors.forename: T
authors.initials: T
authors.lastname: Asahara
mesh_terms: D000328:Adult; D000368:Aged; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome