1. Living-donor liver transplantation with monosegments.
- Author
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Kasahara M, Kaihara S, Oike F, Ito T, Fujimoto Y, Ogura Y, Ogawa K, Ueda M, Rela M, D Heaton N, and Tanaka K
- Subjects
- Adult, Female, Graft Survival, Humans, Infant, Liver Transplantation adverse effects, Liver Transplantation mortality, Male, Middle Aged, Liver Transplantation methods, Living Donors
- Abstract
Background: Living-donor liver transplantation is now an established technique to treat children with end-stage liver disease. Implantation of left-lateral segment grafts can be a problem in small infants because of a large-for-size graft. We report 10 cases of transplantation using monosegment grafts from living donors., Method: Of 506 children transplanted between June 1990 and June 2002, 10 patients (median age 196 days, median weight 5.9 kg) received monosegment living-donor liver transplants. The indication for using this technique was infants with an estimated graft-to-recipient weight ratio of over 4.0%., Results: Graft and patient survival was 80.0%. There were no differences in donor operation time and blood loss between monosegmentectomy and left-lateral segmentectomy (n=281). Monosegmental transplantation had a high incidence of vascular complications (20.0%)., Conclusion: Monosegmental living- donor liver transplantation is a feasible option with satisfactory graft survival in small babies with liver failure.
- Published
- 2003
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