Living-Donor Transplantation with Right Lobe (With or Without Middle Hepatic Vein)
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 . 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.
KeywordsRight-lobe grafts Hilar dissection Piggyback technique Right subcostal incision Lexus incision Venoplasty technique