Feasibility of Full-Right/Full-Left Split-Liver Transplant in Pediatric Deceased Donors for Pediatric Recipients

Exp Clin Transplant. 2021 Mar;19(3):273-275. doi: 10.6002/ect.2020.0390. Epub 2021 Feb 19.

Abstract

This case report describes the first ex situ full-right/full-left splitting of a liver from a pediatric deceased donor in the Middle East with an excellent outcome for both recipients. The left lateral split-liver transplant requires division of the deceased donor liver into a left lateral lobe for a pediatric recipient and an extended right lobe for an adult recipient, thus producing only 1 graft for a pediatric recipient. Full-right/full-left liver transplant, which splits the liver along the line of Cantlie, is a much more complex and challenging surgery, even though the technique is fully developed, and is theoretically able to produce 2 sizeable grafts for 2 pediatric recipients. However, the full-right/full-left liver transplant remains limited because of the small vascular structures and therefore was not recommended and was not previously described in the literature.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Feasibility Studies
  • Female
  • Humans
  • Infant
  • Liver / diagnostic imaging
  • Liver / surgery
  • Liver Transplantation* / methods
  • Middle East