title: Left lobe liver transplants.
abstract: Despite its vast potential, concerns about donor safety continue to limit the expansion of living-donor liver transplantation (LDLT) in Western countries. In light of the technical refinements, relatively lower risk of complications with left lobe (LL) LDLT with comparable outcomes, and the overriding concern for donor safety, there is renewed interest in using LL allograft as the first choice for LDLT; thereby, fundamentally shifting the risks of LDLT from the donor to the recipient. There is ample evidence that LL LDLT when performed with graft inflow modification where indicated, has long-term outcomes as good as cadaveric LT.
authors.affiliation: Section of Transplant Surgery, University of Nebraska Medical Center, 983285 Nebraska Medical Center, Omaha, NE 68198-3285, USA.
authors.forename: Lokesh
authors.initials: L
authors.lastname: Bathla
authors.forename: Luciano M
authors.initials: LM
authors.lastname: Vargas
authors.forename: Alan
authors.initials: A
authors.lastname: Langnas
mesh_terms: D001652:Bile Ducts / Q000033:anatomy & histology; D002758:Cholangiography; D058625:End Stage Liver Disease / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods; D006499:Hepatic Artery / Q000033:anatomy & histology; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007258:Informed Consent; D008099:Liver / Q000473:pathology; D016031:Liver Transplantation / Q000379:methods; D019520:Living Donors; D009929:Organ Size; D016896:Treatment Outcome
keywords: Adult; Graft inflow modification; Left lobe liver transplantation; Living donor liver transplantation; Small-for-size