ArticleAnnals of hepato-biliary-pancreatic surgery2020
Pediatric liver transplantation with hyperreduced left lateral segment graft.
Article in Annals of hepato-biliary-pancreatic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Anatomical Size Disparities in Liver Transplantation: Imaging-Derived Abdominal Dimensions and Their Association With Waitlist Outcomes.Clinical transplantation · 2026Article
- Hyper-reduced grafts in living donor liver transplant: Techniques and outcomes.World journal of transplantation · 2025Article
- Evaluating the Correlation Between Anteroposterior Diameter, Body Surface Area, and Height for Liver Transplant Donors and Recipients.Transplantation direct · 2024Article
- Liver transplantation in pediatric patients with progressive familial intrahepatic cholestasis: Single center experience of seven cases.Annals of hepato-biliary-pancreatic surgery · 2022Article
- Dextroplantation of a reduced left lateral section graft in an infant undergoing living donor liver transplantation.Annals of hepato-biliary-pancreatic surgery · 2021Article
- Third retransplantation using a whole liver graft for late graft failure from hepatic vein stent stenosis in a pediatric patient who underwent split liver retransplantation.Annals of hepato-biliary-pancreatic surgery · 2021Article
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12 authors.
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Abstract
BACKGROUNDS/
aimsTo prevent large-for-size graft-related complications in small infant patients, the size of a left lateral segment (LLS) graft can be reduced to be a hyperreduced LLS (HRLLS) graft.
methodsThis study was intended to describe the detailed techniques for harvesting and implanting HRLLS grafts developed in a high-volume liver transplantation (LT) center.
resultsThe mean recipient age was 4.0±1.7 months (range: 3-6) and body weight was 5.3±1.4 kg (range: 4.1-6.9). Primary diagnoses of the recipients were progressive familial intrahepatic cholestasis in 2 and biliary atresia in 1. The types of LT were living donor LT in 1 and split deceased donor LT in 2. Non-anatomical size reduction was performed to the transected LLS grafts. The mean weight of the HRLLS grafts was 191.7±62.1 g (range: 120-230) and graft-recipient weight ratio was 3.75±1.57% (range: 2.45-5.49). Widening venoplasty was applied to the graft left hepatic vein outflow orifice. Vein homograft interposition was used in a case with portal vein hypoplasia. Types of the abdomen wound closure were one case of primary repair, one of two-staged closure with a mesh, and one of three-staged repair with a silo and a mesh. All three patients recovered uneventfully from the LT operation and are doing well to date for more than 6 years after transplantation.
conclusionsMaking a HRLLS graft through non-anatomical resection during living donor LT and split deceased donor LT can be a useful option for treating small infant patients.
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