In situ
split liver transplantation for 2 adult recipients: A single-center experience.
The alternatives include split liver transplantation (SLT), in which a liver is divided up to transplant into two recipients, and living donor liver transplantation (LDLT), in which a portion of a liver from a live donor is used.
Our findings, which show that overall patient and graft survivals have improved , and that outcomes for alternatives to WLT are comparable, will hopefully influence policy for organ allocation such as greater use of split liver transplantation," said Dr Mogul.
Such strategies involve living donor liver transplantation (LDLT), split liver transplantation (SLT), and domino liver transplantation (DLT) [11, 41-45].
Abbreviations ALF: Acute liver failure ASL: Arginine succinyl lyase deficiency CND: Crigler-Najjar disease DHT: Domino hepatocyte transplantation DLT: Domino liver transplantation FAP: Familial amyloid polyneuropathy GSD: Glycogen storage disease HCC: Hepatocellular HT: Hepatocyte transplantation DLT: Living donor liver transplantation LT: Liver transplant SLT: Split liver transplantation OLT: Orthotopic liver transplantation OTD: Ornithine transcarbamylase deficiency PFIC: Progressive familial intrahepatic cholestasis TTR: Transthyretin.
Umman, "Split liver transplantation: An overview," Transplantation Proceedings, vol.
Split liver transplantation carries no increased risk of failure in either recipient, allowing transplant surgeons to safely save two lives from a single donated organ, according to new research from Boston Children's Hospital.
Freise, "Outcomes with
split liver transplantation in 106 recipients: The University of California, San Francisco, experience from 1993 to 2010," JAMA Surgery, vol.
Responding to the steady increase in US transplant programs practicing split liver transplantation, the United Network for Organ Sharing/Organ Procurement and Transplantation Network Ethics Committee has developed a set of voluntary guidelines for programs to follow.
"One of the paramount responsibilities of transplant surgeons is to inform recipients as to the current practices of their transplant program regarding split liver transplantation, the risks involved, the potential for increased morbidity requiring additional interventional/surgical procedures and hospital stay, and the program's outcome data regarding these procedures," the committee writes in the paper "Split Vs.