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Selective Hemi-Portocaval Shunt Based on Portal Vein Pressure for Small-for-Size Graft in Adult Living Donor Liver Transplantation

โœ Scribed by T. Yamada; K. Tanaka; K. Uryuhara; K. Ito; Y. Takada; S. Uemoto

Book ID
114804672
Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
518 KB
Volume
8
Category
Article
ISSN
1600-6135

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In general, for a liver transplantation to be successful, the graft size should cover 30%-40% of the expected liver volume or 0.8%-1.0% of the body weight of the recipient. 1,2 However, small-for-size-graft syndrome depends not only on the graft size but also on the recipient's preoperative conditio

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Adult-to-adult living donor liver transplantation (AA-LDLT) has better outcomes when a graft weight to recipient weight ratio (GW/RW) > 0.8 is selected. A smaller GW/RW may result in small-for-size syndrome (SFSS). Portal inflow modulation seems to effectively prevent SFSS. Donor right hepatectomy i