title: A modified heterotopic auxiliary living donor liver transplantation: report of a case.
abstract: Liver transplantation is regarded as an effective treatment for Wilson's disease (WD), and recently has been shown to improve not only hepatic but also neurologic manifestations. Conventional auxiliary liver transplantation for WD is orthotopic liver transplantation and heterotopic liver transplantation. But the conventional procedure could not avoid the problem of space, functional competition, hemodynamic variation. Here we report a case of heterotopic auxiliary living-donor liver transplantation (HALDLT) to treat WD. We modified the operation to have a splenectomy, implant graft into the splenic fossa. The patient recovered well after the transplantation and has been symptom-free during a 5-year follow-up. This modified operation is more safe and simple. HALDLT might be an effective treatment for WD patients with splenomegaly.
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Kefeng
authors.initials: K
authors.lastname: Dou
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Desheng
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Kaishan
authors.initials: K
authors.lastname: Tao
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Shuqiang
authors.initials: S
authors.lastname: Yue
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Zhenyu
authors.initials: Z
authors.lastname: Ti
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Zhenshun
authors.initials: Z
authors.lastname: Song
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Lin
authors.initials: L
authors.lastname: Li
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Yong
authors.initials: Y
authors.lastname: He
authors.affiliation: Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China.
authors.forename: Xiaojuan
authors.initials: X
authors.lastname: Hou
mesh_terms: D064591:Allografts / Q000098:blood supply / Q000000981:diagnostic imaging*; D002648:Child; D005260:Female; D006498:Hepatectomy / Q000379:methods; D006527:Hepatolenticular Degeneration / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D011859:Radiography; D011877:Radionuclide Imaging; D016042:Transplantation, Heterotopic / Q000379:methods*; D016896:Treatment Outcome