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FEASIBILITY OF FULL-RIGHT/FULL-LEFT SPLIT-LIVER TRANSPLANT IN PEDIATRIC DECEASED DONORS FOR PEDIATRIC RECIPIENTS

AHMED ZİDAN, SULTAN ALJUDAİBİ, NİZAR WALİ, MARK STURDEVANT, MOHAMMED SHAGRANİ, TALAL ALGOUFİ, DİETER C BROERİNG

Experimental and Clinical Transplantation - 2021;19(3):273-275

Hepatobiliary-Pancreatic and Liver Transplantation Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh

 

This case report describes the first ex situ full-right/fullleft 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.