Transplantation of three adult patients with one cadaveric graft: wait or innovate.

  • Azoulay D
  • Castaing D
  • Adam R
 et al. 
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Graft shortage continues to prolong waiting times for adults requiring liver transplantation. Living related donor transplantation is possible for only a small minority of adults. The techniques for in situ splitting of the liver used for right and left hepatectomies in living donors were adapted to a combined split-liver-domino procedure to obtain right and left hemiliver grafts from a patient undergoing total hepatectomy with liver transplantation for a metabolic disorder. The two grafts were adequate in size and function for transplantation to two adults with low priority for regular cadaver grafts. More frequent use of split-liver techniques in cadaver donors could considerably reduce the graft shortage and waiting time for adult liver recipients.

Author-supplied keywords

  • Adult
  • Cadaver
  • Carcinoma, Hepatocellular
  • Carcinoma, Hepatocellular: surgery
  • Humans
  • Liver Cirrhosis
  • Liver Cirrhosis: surgery
  • Liver Neoplasms
  • Liver Neoplasms: surgery
  • Liver Transplantation
  • Liver Transplantation: methods

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  • D Azoulay

  • D Castaing

  • R Adam

  • O Mimoz

  • H Bismuth

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