Donor graft outflow venoplasty in living donor liver transplantation

Small graft for living donor liver transplantation.

OBJECTIVE To evaluate the impact of graft size on recipients in living donor liver transplantation (LDLT) to establish a clinical guideline for the minimum requirement. SUMMARY BACKGROUND DATA Although the minimum graft size required for LDLT has been reported to be 30% to 40% of graft volume (GV)/standard liver volume (SLV), the safety limit of the graft size was unknown. METHODS A total o...

Living donor liver transplantation.

Living donor liver transplantation.

Living Donor Liver Transplantation

Living donor liver transplantation (LDLT) is probably the most high-profile of all surgical enterprises. At the same time, it is an amazing act of altruism. It requires hard work of dedicated multidisciplinary medical teams coupled with the courage of the patients and their families. The concept of LDLT is based on the following two factors: (1) the remarkable regenerative capacity of the liver...

Use of 3-dimensional computed hepatic venous visualization for graft outflow venoplasty in adult left living-donor liver transplant.

OBJECTIVES A surgeon must be aware of hepatic vascular variations to safely perform living-donor liver transplant. The ramification patterns of the hepatic veins with tributaries for left lobe graft outflow venoplasty should be evaluated preoperatively with 3-dimensional computed tomography of the donor. MATERIALS AND METHODS Twenty-four potential donors were examined between October 1999 and...