TY - JOUR
T1 - Living donor liver transplantation using dual grafts from two donors
T2 - A feasible option to overcome small-for-size graft problems?
AU - Soejima, Yuji
AU - Taketomi, A.
AU - Ikegami, Toru
AU - Yoshizumi, T.
AU - Uchiyama, H.
AU - Yamashita, Y.
AU - Meguro, M.
AU - Harada, N.
AU - Shimada, M.
AU - Maehara, Yoshihiko
PY - 2008/4
Y1 - 2008/4
N2 - Living donor liver transplantation (LDLT) between adults inevitably implies two potential risks associated with a small-for-size graft for the recipient and small remnant liver for the donor. To overcome these problems, LDLT using dual grafts from two independent donors can be a solution, in which sufficient graft volume can be obtained while preserving donor safety. We present a case of LDLT that was managed successfully by using right and left lobe dual grafts from two donors. The recipient was a large-size male with hepatitis C cirrhosis complicated by multiple hepatocellular carcinomas (HCCs). The first donor donated a right lobe graft and the second donor donated a left lobe plus caudate lobe graft with the middle hepatic vein. Graft function was excellent throughout the course without evidence of small-for-size syndrome. In conclusion, LDLT using dual grafts can be justified in a selected case to avoid small-for-size graft problems without increasing independent donor risks.
AB - Living donor liver transplantation (LDLT) between adults inevitably implies two potential risks associated with a small-for-size graft for the recipient and small remnant liver for the donor. To overcome these problems, LDLT using dual grafts from two independent donors can be a solution, in which sufficient graft volume can be obtained while preserving donor safety. We present a case of LDLT that was managed successfully by using right and left lobe dual grafts from two donors. The recipient was a large-size male with hepatitis C cirrhosis complicated by multiple hepatocellular carcinomas (HCCs). The first donor donated a right lobe graft and the second donor donated a left lobe plus caudate lobe graft with the middle hepatic vein. Graft function was excellent throughout the course without evidence of small-for-size syndrome. In conclusion, LDLT using dual grafts can be justified in a selected case to avoid small-for-size graft problems without increasing independent donor risks.
UR - http://www.scopus.com/inward/record.url?scp=40449127180&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=40449127180&partnerID=8YFLogxK
U2 - 10.1111/j.1600-6143.2008.02153.x
DO - 10.1111/j.1600-6143.2008.02153.x
M3 - Article
C2 - 18294350
AN - SCOPUS:40449127180
VL - 8
SP - 887
EP - 892
JO - American Journal of Transplantation
JF - American Journal of Transplantation
SN - 1600-6135
IS - 4
ER -