1. Liver transplantation with monosegment from a living donor
- Author
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Elizabeth Balbi, Marcia Halpern, Rosalice Miecznikowski, Lúcio Filgueiras Pacheco-Moreira, Flavia Goncalves Coelho De Souza e Oliveira, Adriana Caroli Bottino, Josther Gracia, Marcelo Enne, Lucio José Auler de Faria, Rodrigo Pereira Diaz André, Giuseppe Santalucia, Grace Kelly Paranhos, José Manoel Martinho, Alexandre Cerqueira, and João Luiz Pereira
- Subjects
Male ,Transplantation ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Small children ,Infant ,Economic shortage ,Organ Size ,Liver transplantation ,Living donor ,Liver Transplantation ,Surgery ,Bile Ducts, Intrahepatic ,Pediatrics, Perinatology and Child Health ,Living Donors ,Hepatectomy ,Humans ,Medicine ,Lateral segment ,business ,Donor pool - Abstract
The shortage of organ donors for low-weight liver transplant recipients, especially for small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg. We report here the case of an 8-month-old boy, weighing 6.1 kg, who received a monosegmental graft (segment III) from his grandmother weighing 68 kg. The graft was reduced at the donor surgery, before clamping of the vessels. The donor was discharged on the fourth post-operative day; the recipient had an uneventful post-operative period and was discharged after 22 days.
- Published
- 2004
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