Current concept of small-for-size grafts in living donor liver transplantation

Toru Ikegami, Mitsuo Shimada, Satoru Imura, Yusuke Arakawa, Akira Nii, Yuji Morine, Hirofumi Kanemura

研究成果: Contribution to journalReview article査読

61 被引用数 (Scopus)

抄録

The extended application of living donor liver transplantation (LDLT) has revealed the problem of graft size mismatching called "small-for-size (SFS) graft syndrome." The initial trials to resolve this problem involved increasing the procured graft size, from left to right, and even extension to include a right lobe graft. Clinical cases of living right lobe donations have been reported since then, drawing attention to the risks of increasing the liver volume procured from a living donor. However, not only other modes of increasing graft volume such as auxiliary or dual liver transplantation, but also control of the increased portal pressure caused by an SFS graft, such as a portosystemic shunt or splenectomy, have been trialed with some positive results. To establish an effective strategy for transplanting SFS grafts and preventing SFS graft syndrome, it is essential to have precise knowledge and tactics to evaluate graft quality and graft volume, when performing these LDLTs with portal pressure control. We reviewed the updated literature on the pathogenesis of and strategies for using SFS grafts.

本文言語英語
ページ(範囲)971-982
ページ数12
ジャーナルSurgery today
38
11
DOI
出版ステータス出版済み - 11 1 2008
外部発表はい

All Science Journal Classification (ASJC) codes

  • Surgery

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