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Liver transplantation with monosegment from a living donor
Authors:Enne Marcelo  Pacheco-Moreira Lucio Filgueiras  Cerqueira Alexandre  Balbi Elizabeth  Halpern Marcia  Luiz Pereira João  Santalucia Giuseppe  Gracia Josther  De Souza E Oliveira Flavia Goncalves Coelho  Paranhos Grace Kelly  Miecznikowski Rosalice  De Faria Lucio José Auler  Pereira Diaz André Rodrigo  Caroli Bottino Adriana  Manoel Martinho José
Affiliation:Clinical and Surgical Hepatology Program, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, Brazil. txhepatico@hgb.rj.saude.gov.br
Abstract:The shortage of organ donors for low-weight liver transplant recipients, especially for small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg. We report here the case of an 8-month-old boy, weighing 6.1 kg, who received a monosegmental graft (segment III) from his grandmother weighing 68 kg. The graft was reduced at the donor surgery, before clamping of the vessels. The donor was discharged on the fourth post-operative day; the recipient had an uneventful post-operative period and was discharged after 22 days.
Keywords:living donor  liver transplantation  pediatrics  surgical technique
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