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Living-Donor Transplantation with Right Lobe (With or Without Middle Hepatic Vein)

  • Elizabeth A. PomfretEmail author
  • Mohamed Akoad
  • James J. Pomposelli
  • Nancy Kwan Man
  • Cho-Lam Wong
  • Chung-Mau Lo
Chapter
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

Live-donor liver transplantation using right-lobe grafts is a surgical innovation that is still evolving as we gain further understanding of the interrelated effects on outcome of graft size, portal and hepatic artery blood flow, and patient disease severity. Right-lobe living-donor liver transplantation (LDLT) is one of the most complicated and technically demanding surgical procedures, which has created a lot of controversy with regard to the ethical issue of the safety of a healthy living donor [1]. With technique refinement and better practice under a learning curve, however, LDLT using the right or extended right lobe has been adopted as a solution for adult patients who cannot receive a timely deceased graft, with excellent outcome [2–4]. This surgical innovation has significantly reduced the graft shortage worldwide, and the demand for this life-saving procedure will continue to increase.

Keywords

Right-lobe grafts Hilar dissection Piggyback technique Right subcostal incision Lexus incision Venoplasty technique 

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Elizabeth A. Pomfret
    • 1
    Email author
  • Mohamed Akoad
    • 2
  • James J. Pomposelli
    • 3
  • Nancy Kwan Man
    • 4
  • Cho-Lam Wong
    • 4
  • Chung-Mau Lo
    • 4
  1. 1.University of Colorado School of MedicineAuroraUSA
  2. 2.Lahey Hospital and Medical CenterBurlingtonUSA
  3. 3.Division of Transplant and Vascular Access SurgeryUniversity of Colorado Transplant CenterAuroraUSA
  4. 4.Department of Surgery, Li Ja Shing Faculty of MedicineThe University of Hong KongHong KongChina

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