Implications for the usage of the left lateral liver graft for infants ≤10 kg, irrespective of a large-for-size situation - are monosegmental grafts redundant?

Autor:	B. Dresske, Julia Deinzer, Martin Burdelski, Martina Kohl, Jan Borggrefe, Dieter C. Bröring, Maren Schulze, Felix Braun, Sebastian Schulz-Jürgensen
Rok vydání:	2011
Předmět:	Transplantation medicine.medical_specialty business.industry medicine.medical_treatment Statistical difference Liver transplantation Body weight Abdominal pressure Surgery Liver graft Graft size surgical procedures operative Vascular flow medicine business
Zdroj:	Transplant International. 24:797-804
ISSN:	0934-0874
Popis:	Summary Organ donor shortage for infant liver transplant recipients has lead to an increase in splitting and living donation. For cases in which even transplantation of the left lateral graft (Couinaud’s segments II + III) results in a ‘‘large for size situation’’ with an estimated graft body weight ratio (GBWR) of >4%, monosegmental liver transplantation was developed. This, however, bears complications because of greater parenchymal surface and suboptimal vascular flow. We exclusively use the left lateral graft from living donors or split grafts. Temporary abdominal closure is attempted in cases of increased pressure. We report of 41 pediatric transplants in 38 children £10 kg. Within this group, there were 23 cases with a GBWR of ‡4, and 15 cases with a GBWR
Databáze:	OpenAIRE
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