Living donor liver transplantation using a left lobe graft from a donor with severe liver trauma: A 7-year follow-up

✍ Scribed by Geng Chen; Huaizhi Wang; Liping Chen; Shizhong Yang; Shuguang Wang; Ping Bie; Zhanyu Yang; Jiahong Dong

• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 307 KB
• Volume: 15
• Category: Article
• ISSN: 1527-6465
• DOI: 10.1002/lt.21870

✦ Synopsis

Strategies to expand the pool of available donor organs include the use of extended criteria donor livers, which also include injured allografts from donors with liver trauma. 1 Trauma currently remains a leading cause of death worldwide, and among those who sustain abdominal trauma, the liver is the most frequently injured organ. Hepatic injuries are seen in as many as 40% of patients sustaining abdominal trauma. Despite the current trend toward conservative treatment, as many as 14% of all liver injuries and 33% of major liver injuries may require hepatic resection. 2,3 The use of deceased donor livers with preexisting traumatic injury has been reported by several centers, and the outcomes were acceptable. 4-8 However, living donor liver transplantation (LDLT) using a traumatized donor liver has never been reported. Here we report successful LDLT using a left lobe graft from a donor with severe liver trauma. The positive prognosis of this case has been confirmed by 7 years of follow-up.