Delayed bile leakage from a remaining part of segment 8 in a posterior section graft after living donor liver transplantation: a common pitfall in harvesting a posterior section graft? A case report

Transplant Proc. 2007 Dec;39(10):3515-8. doi: 10.1016/j.transproceed.2007.07.082.

Abstract

In Japan and Korea, where availability of deceased donor organs for solid organ transplantation remains rare, living donor liver transplantation (LDLT) using a posterior section graft (PSG; segments VI+VII, according to Couinaud's Nomenclature for liver segmentation) has now been accepted as a standard procedure that balances donor risk and patient benefits for cases in which right hemi-liver donation is too risky, because of marked volume imbalances between right and left hemi-livers. Compared with other types of grafts, however, the procedure requires detailed knowledge concerning hepatic vascular anatomy and meticulous manipulation during donation surgery. We present herein a case of delayed bile leakage from a remaining part of segment 8 in a PSG, which was considered to be a complication peculiar to LDLT using a PSG.

Publication types

  • Case Reports

MeSH terms

  • Bile / metabolism*
  • Female
  • Hepatectomy
  • Hepatitis / surgery*
  • Humans
  • Liver Failure / etiology
  • Liver Failure / surgery*
  • Liver Transplantation / adverse effects*
  • Liver Transplantation / methods*
  • Liver Transplantation / pathology
  • Living Donors
  • Middle Aged
  • Organ Size
  • Postoperative Complications / physiopathology
  • Tissue and Organ Harvesting / methods
  • Tomography, X-Ray Computed