The in-situ split-liver (ISSL) technique allows the division of the liver of a cadaver donor in two parts that can be transplanted in two different patients. The two grafts obtained are different in size, the left one being generally suitable for transplantation only in small children. We describe here the successful use of an alternative technique, generating two grafts more similar in size, both of which are transplantable into adults or large children. This alternative technique of ISSL provided two grafts of similar size, showing excellent function in two recipients of adult size. The blood loss during the split was similar to that reported from harvesting a right-lobe graft from a living donor, with a similar technique. With increasing experience this figure can be reduced. Our technique increases the flexibility of the procedure and can virtually double the pool of liver grafts for adult recipients.
A new splitting technique for liver grafts.
VALENTE, UMBERTO;
1999-01-01
Abstract
The in-situ split-liver (ISSL) technique allows the division of the liver of a cadaver donor in two parts that can be transplanted in two different patients. The two grafts obtained are different in size, the left one being generally suitable for transplantation only in small children. We describe here the successful use of an alternative technique, generating two grafts more similar in size, both of which are transplantable into adults or large children. This alternative technique of ISSL provided two grafts of similar size, showing excellent function in two recipients of adult size. The blood loss during the split was similar to that reported from harvesting a right-lobe graft from a living donor, with a similar technique. With increasing experience this figure can be reduced. Our technique increases the flexibility of the procedure and can virtually double the pool of liver grafts for adult recipients.
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