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Dual Graft Living Donor Liver Transplantation - a Case Report

Overview
Journal BMC Surg
Publisher Biomed Central
Specialty General Surgery
Date 2019 Oct 24
PMID 31640624
Citations 3
Authors
Affiliations
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Abstract

Background: Living donor liver transplantation (LDLT) has emerged as an equally viable option to deceased donor liver transplant for treating end stage liver disease patients. Optimising the recipient outcome without compromising donor safety is the primary goal of LDLT. Achieving the adequate graft to recipient weight ratio (GRWR) is important to prevent small for size syndrome which is an uncommon but potentially lethal complication of LDLT.

Case Presentation: Here we describe a case of successful dual lobe liver transplant for a 32 years old patient with ethanol related end stage liver disease. A right lobe graft without middle hepatic vein and another left lateral sector graft were transplanted successfully. Recipient and both donors recovered uneventfully.

Conclusion: Dual lobe liver transplant is a feasible strategy to achieve adequate GRWR without compromising donor safety.

Citing Articles

Special Techniques of Liver Transplantation: Living Donor Liver Transplantation With Right Posterior Sector Grafts and Extended Left Lobe Grafts; Auxiliary Partial Orthotopic Liver Transplantation, and Dual-Lobe Liver Transplantation.

Rajasekar J, Rammohan A, Rela M J Clin Exp Hepatol. 2024; 15(2):102451.

PMID: 39722781 PMC: 11666944. DOI: 10.1016/j.jceh.2024.102451.


Preliminary study of donor volume changes after dual-graft liver transplantation in rats.

Wang D, Ma Y, Gu B, Li X, Yu Y, Zhang Y Front Immunol. 2023; 14:1183426.

PMID: 37908343 PMC: 10613707. DOI: 10.3389/fimmu.2023.1183426.


Dual Graft Living Donor Liver Transplantation for High Acuity Patients: A Single-Center Experience.

Khan A, Arkam F, Dar F, Khan N, Bhatti A J Clin Exp Hepatol. 2023; 13(3):447-453.

PMID: 37250874 PMC: 10213845. DOI: 10.1016/j.jceh.2022.12.007.

References
1.
Fan S, Lo C, Liu C, Yong B, Chan J, Ng I . Safety of donors in live donor liver transplantation using right lobe grafts. Arch Surg. 2000; 135(3):336-40. DOI: 10.1001/archsurg.135.3.336. View

2.
Dong J, Yang S, Zeng J, Cai S, Ji W, Duan W . Precision in liver surgery. Semin Liver Dis. 2013; 33(3):189-203. DOI: 10.1055/s-0033-1351781. View

3.
Kiuchi T, Kasahara M, Uryuhara K, Inomata Y, Uemoto S, Asonuma K . Impact of graft size mismatching on graft prognosis in liver transplantation from living donors. Transplantation. 1999; 67(2):321-7. DOI: 10.1097/00007890-199901270-00024. View

4.
Yang C, Chen C, Wang C, Concejero A, Wang S, Liu Y . Dual grafts in adult-to-adult living donor liver transplantation: a single center experience in Taiwan. Surgery. 2009; 145(2):212-8. DOI: 10.1016/j.surg.2008.09.008. View

5.
Lo C, Fan S, Liu C, Chan J, Lam B, Lau G . Minimum graft size for successful living donor liver transplantation. Transplantation. 1999; 68(8):1112-6. DOI: 10.1097/00007890-199910270-00009. View