Split Liver Transplantation: Where? When? How?

被引:10
作者
Abradelo, M. [1 ]
Sanabria, R. [1 ]
Caso, O. [1 ]
Alvaro, E. [1 ]
Moreno, E. [1 ]
Jimenez, C. [1 ]
机构
[1] 12 de Octubre Univ Hosp, Abdominal Organ Transplantat & Gen & Digest Surg, Madrid, Spain
关键词
2 ADULT RECIPIENTS; MATCHED-PAIR ANALYSIS; ONE DONOR LIVER; LIVING-DONOR; EXPERIENCE; OUTCOMES; GRAFTS; CHILDREN; PATIENT; FEASIBILITY;
D O I
10.1016/j.transproceed.2012.05.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Donor scarcity is among the greatest concerns in the transplantation community. Dividing a liver graft theoretically offers a double benefit for candidates on the waiting list. Split liver transplantation entails a higher logistic and technical complexity that is extensively compensated, not only with an increase in the accessibility for child and adult candidates on the liver transplant waiting list, but also acceptable survival results.
引用
收藏
页码:1513 / 1516
页数:4
相关论文
共 42 条
[21]   Split liver transplantation for two adult recipients: An initial experience [J].
Humar, A ;
Ramcharan, T ;
Sielaff, TD ;
Kandaswamy, R ;
Gruessner, RW ;
Lake, JR ;
Payne, WD .
AMERICAN JOURNAL OF TRANSPLANTATION, 2001, 1 (04) :366-372
[22]   Maintenance of the celiac trunk with the left-sided liver allograft for in situ split-liver transplantation [J].
Kilic, M ;
Seu, P ;
Goss, JA .
TRANSPLANTATION, 2002, 73 (08) :1252-1257
[23]   Factors affecting graft survival after adult/child split-liver transplantation: Analysis of the UNOS/OPTN data base [J].
Lee, K. W. ;
Cameron, A. M. ;
Maley, W. R. ;
Segev, D. L. ;
Montgomery, R. A. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2008, 8 (06) :1186-1196
[24]   Hypoperfusion of Segment 4 in Right In Situ Split-Liver Transplantation [J].
Maggi, U. ;
Caccamo, L. ;
Reggiani, P. ;
Laura, R. ;
Bertoli, P. ;
Camagni, S. ;
Paterson, I. M. ;
Rossi, G. .
TRANSPLANTATION PROCEEDINGS, 2010, 42 (04) :1240-1243
[25]  
Meneu-Diaz JC, 2008, HEPATO-GASTROENTEROL, V55, P1699
[26]   Predicted lifetimes for adult and pediatric split liver versus adult whole liver transplant recipients [J].
Merion, RM ;
Rush, SH ;
Dykstra, DM ;
Goodrich, N ;
Freeman, RB ;
Wolfe, RA .
AMERICAN JOURNAL OF TRANSPLANTATION, 2004, 4 (11) :1792-1797
[27]   Split-liver transplantation in the high-MELD adult patient: are we being too cautious? [J].
Nadalin, Silvio ;
Schaffer, Randolph ;
Fruehauf, Nils .
TRANSPLANT INTERNATIONAL, 2009, 22 (07) :702-706
[28]   Enlargement of the cadaveric-liver donor pool using in-situ split-liver transplantation despite complex hepatic arterial anatomy [J].
Nunez, A ;
Goodpastor, SE ;
Goss, JA ;
Washburn, WK .
TRANSPLANTATION, 2003, 76 (07) :1134-1136
[29]   Outcomes of split versus reduced-size grafts in pediatric liver transplantation [J].
Oswari, H ;
Lynch, SV ;
Fawcett, J ;
Strong, RW ;
Ee, LC .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2005, 20 (12) :1850-1854
[30]  
OTTE JB, 1990, SURGERY, V107, P605