Left lobe liver transplants

Lokesh Bathla; Luciano M Vargas; Alan Langnas

doi:10.1016/j.suc.2013.09.003

Left lobe liver transplants

Surg Clin North Am. 2013 Dec;93(6):1325-42. doi: 10.1016/j.suc.2013.09.003.

Authors

Lokesh Bathla¹, Luciano M Vargas, Alan Langnas

Affiliation

¹ Section of Transplant Surgery, University of Nebraska Medical Center, 983285 Nebraska Medical Center, Omaha, NE 68198-3285, USA.

PMID: 24206854
DOI: 10.1016/j.suc.2013.09.003

Abstract

Despite its vast potential, concerns about donor safety continue to limit the expansion of living-donor liver transplantation (LDLT) in Western countries. In light of the technical refinements, relatively lower risk of complications with left lobe (LL) LDLT with comparable outcomes, and the overriding concern for donor safety, there is renewed interest in using LL allograft as the first choice for LDLT; thereby, fundamentally shifting the risks of LDLT from the donor to the recipient. There is ample evidence that LL LDLT when performed with graft inflow modification where indicated, has long-term outcomes as good as cadaveric LT.

Keywords: Adult; Graft inflow modification; Left lobe liver transplantation; Living donor liver transplantation; Small-for-size.

Publication types

Review

MeSH terms

Bile Ducts / anatomy & histology
Cholangiography
End Stage Liver Disease / surgery*
Hepatectomy / methods
Hepatic Artery / anatomy & histology
Humans
Image Processing, Computer-Assisted
Informed Consent
Liver / pathology
Liver Transplantation* / methods
Living Donors
Organ Size
Treatment Outcome