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Partial liver transplantation |
Nianqiao GONG, Xiaoping CHEN() |
Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China. |
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Abstract Partial liver transplantation, including reduced-size liver transplantation, split liver transplantation, and living donor liver transplantation, has been developed with several innovative techniques because of donor shortage. Reduced-size liver transplantation is based on Couinaud’s anatomical classification, benefiting children and small adult recipients but failing to relieve the overall donor shortage. Split liver transplantation provides chances to two or even more recipients when only one liver graft is available. The splitting technique must follow stricter anatomical and physiological criteria either ex situ or in situ to ensure long-term quality. The first and most important issue involving living donor liver transplantation is donor safety. Before surgery, a series of donor evaluations—including anatomical, liver volume, and liver function evaluations—is indispensable, followed by ethnic agreement. At different recipient conditions, auxiliary liver transplantation and auxiliary partial orthotopic liver transplantation, which employ piggyback techniques, are good alternatives. Partial liver transplantation enriches the practice and knowledge of the transplant society.
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Keywords
partial liver transplantation
reduced-size liver transplantation
split liver transplantation
living donor liver transplantation
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Corresponding Author(s):
CHEN Xiaoping,Email:qgyzlc@tjh.tjmu.edu.cn
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Issue Date: 05 March 2011
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1 |
Marwan I K, Fawzy A T, Egawa H, Inomata Y, Uemoto S, Asonuma K, Kiuchi T, Hayashi M, Fujita S, Ogura Y, Tanaka K. Innovative techniques for and results of portal vein reconstruction in living-related liver transplantation. Surgery , 1999, 125(3): 265-270
|
2 |
Bismuth H, Houssin D. Reduced-sized orthotopic liver graft in hepatic transplantation in children. Surgery , 1984, 95(3): 367-370
|
3 |
Couinaud L.etudes Anatomiques et Chirurgicales. 1957
|
4 |
de Ville de Goyet J, Hausleithner V, Reding R, Lerut J, Janssen M, Otte J B. Impact of innovative techniques on the waiting list and results in pediatric liver transplantation. Transplantation , 1993, 56(5): 1130-1136 doi: 10.1097/00007890-199311000-00016
|
5 |
Langnas A N, Marujo W C, Inagaki M, Stratta R J, Wood R P, Shaw B W Jr. The results of reduced-size liver transplantation, including split livers, in patients with end-stage liver disease. Transplantation , 1992, 53(2): 387-390 doi: 10.1097/00007890-199202010-00023
|
6 |
Burgos L, Hernández F, Barrena S, Andres A M, Encinas J L, Leal N, Gamez M, Murcia J, Jara P, Lopez-Santamaria M, Tovar J A. Variant techniques for liver transplantation in pediatric programs. Eur J Pediatr Surg , 2008, 18(6): 372-374 doi: 10.1055/s-2008-1038900
|
7 |
Pichlmayr R, Ringe B, Gubernatis G, Hauss J, Bunzendahl H. Transplantation of a donor liver to 2 recipients (splitting transplantation)- a new method in the further development of segmental liver transplantation. Langenbecks Arch Chir , 1988, 373(2): 127-130 doi: 10.1007/BF01262776
|
8 |
Bismuth H, Morino M, Castaing D, Gillon M C, Descorps Declere A, Saliba F, Samuel D. Emergency orthotopic liver transplantation in two patients using one donor liver. Br J Surg , 1989, 76(7): 722-724 doi: 10.1002/bjs.1800760723
|
9 |
de Ville de Goyet J. Technique for ex situ cadaveric liver division. In: Rogiers X, Bismuth H, Busuttil R W, Broering D C, Azoulay Deds. Split Liver Transplantation . Darmstadt: Springer, 2002: 75.
|
10 |
Rogiers X, Malago M, Habib N, Knoefel W T, Pothmann W, Burdelski M, Meyer-Moldenhauer W H, Broelsch C E. In situ splitting of the liver in the heart-beating cadaveric organ donor for transplantation in two recipients. Transplantation , 1995, 59(8): 1081-1083
|
11 |
Rogiers X, Malagó M, Gawad K, Jauch K W, Olausson M, Knoefel W T, Gundlach M, Bassas A, Fischer L, Sterneck M, Burdelski M, Broelsch C E. In situ splitting of cadaveric livers. The ultimate expansion of a limited donor pool. Ann Surg , 1996, 224(3): 331-341 doi: 10.1097/00000658-199609000-00009
|
12 |
Yersiz H, Renz J F, Farmer D G, Hisatake G M, McDiarmid S V, Busuttil R W. One hundred in situ split-liver transplantations: a single-center experience. Ann Surg , 2003, 238(4): 496-505
|
13 |
Noujaim H M, Gunson B, Mayer D A, Mirza D F, Buckels J A, Candinas D, McMaster P, de Ville de Goyet J. Worth continuing doing ex situ liver graft splitting? A singlecenter analysis. Am J Transplant , 2003, 3(3): 318-323 doi: 10.1034/j.1600-6143.2003.00047.x
|
14 |
Raia S, Nery J R, Mies S.Liver transplantation from live donors. 1989, 2(8661):497
|
15 |
Strong R W, Lynch S V, Ong T H, Matsunami H, Koido Y, Balderson G A. Successful liver transplantation from a living donor to her son. N Engl J Med , 1990, 322(21): 1505-1507 doi: 10.1056/NEJM199005243222106
|
16 |
Tanaka K, Uemoto S, Tokunaga Y, Fujita S, Sano K, Nishizawa T, Sawada H, Shirahase I, Kim H J, Yamaoka Y, Ozawa K. Surgical techniques and innovations in living related liver transplantation. Ann Surg , 1993, 217(1): 82-91 doi: 10.1097/00000658-199301000-00014
|
17 |
Testa R, Caglieris S, Risso D, Arzani L, Campo N, Alvarez S, Giannini E, Lantieri P B, Celle G. Monoethylglycinexylidide formation measurement as a hepatic function test to assess severity of chronic liver disease. Am J Gastroenterol , 1997, 92(12): 2268-2273
|
18 |
Cescon M, Grazi G L, Del Gaudio M, Ercolani G, Ravaioli M, Nardo B, Cavallari A. Outcome of right hepatectomies in patients older than 70 years. Arch Surg , 2003, 138(5): 547-552 doi: 10.1001/archsurg.138.5.547
|
19 |
Urata K, Kawasaki S, Matsunami H, Hashikura Y, Ikegami T, Ishizone S, Momose Y, Komiyama A, Makuuchi M. Calculation of child and adult standard liver volume for liver transplantation. Hepatology , 1995, 21(5): 1317-1321 doi: 10.1002/hep.1840210515
|
20 |
Tanaka K, Ogura Y. “Small-for-size graft” and “small-for-size syndrome” in living donor liver transplantation. Yonsei Med J , 2004, 45(6): 1089-1094
|
21 |
Kobayashi S, Ochiai T, Hori S, Suzuki T, Shimizu T, Gunji Y, Shimada H, Kanazawa M, Ogawa A, Kohno Y, Hirasawa H, Oda S, Tanaka K. Complete recovery from fulminant hepatic failure with severe coma by living donor liver transplantation. Hepatogastroenterology , 2003, 50(50): 515-518
|
22 |
Tanaka A, Tanaka K, Shinohara H, Hatano E, Sato S, Kanazawa A, Kitai T, Higashiyama H, Nakamura Y, Yamamoto Y, Okajima H, Egawa H, Ikai I, Uemoto S, Satomura I, Ozaki N, Inomata Y, Yamaoka Y. Extension of the indication for living related liver transplantation from children to adults based on resolution of graft size mismatch in relation to tissue oxygenation and metabolic load: a case report. Transpl Int , 1996, 9(Suppl 1): S174-S177 doi: 10.1111/j.1432-2277.1996.tb01600.x
|
23 |
Lo C M, Fan S T, Liu C L, Lo R J, Lau G K, Wei W I, Li J H, Ng I O, Wong J. Extending the limit on the size of adult recipient in living donor liver transplantation using extended right lobe graft. Transplantation , 1997, 63(10): 1524-1528 doi: 10.1097/00007890-199705270-00027
|
24 |
Lo C M, Fan S T, Liu C L, Chan J K, Lam B K, Lau G K, Wei W I, Wong J. Minimum graft size for successful living donor liver transplantation. Transplantation , 1999, 68(8): 1112-1116 doi: 10.1097/00007890-199910270-00009
|
25 |
Kiuchi T, Tanaka K, Ito T, Oike F, Ogura Y, Fujimoto Y, Ogawa K. Small-for-size graft in living donor liver transplantation: how far should we go? Liver Transpl , 2003, 9(9): S29-S35 doi: 10.1053/jlts.2003.50198
|
26 |
Morioka D, Egawa H, Kasahara M, Ito T, Haga H, Takada Y, Shimada H, Tanaka K. Outcomes of adult-to-adult living donor liver transplantation: a single institution’s experience with 335 consecutive cases. Ann Surg , 2007, 245(2): 315-325 doi: 10.1097/01.sla.0000236600.24667.a4
|
27 |
Imura S, Shimada M, Ikegami T, Morine Y, Kanemura H. Strategies for improving the outcomes of small-for-size grafts in adult-to-adult living-donor liver transplantation. J Hepatobiliary Pancreat Surg , 2008, 15(2): 102-110 doi: 10.1007/s00534-007-1297-3
|
28 |
Miller C, Florman S, Kim-Schluger L, Lento P, De La Garza J, Wu J, Xie B, Zhang W, Bottone E, Zhang D, Schwartz M. Fulminant and fatal gas gangrene of the stomach in a healthy live liver donor. Liver Transpl , 2004, 10(10): 1315-1319 doi: 10.1002/lt.20227
|
29 |
Tanaka K, Yamada T. Living donor liver transplantation in Japan and Kyoto University: what can we learn? J Hepatol , 2005, 42(1): 25-28 doi: 10.1016/j.jhep.2004.11.004
|
30 |
Nishizaki T, Ikegami T, Hiroshige S, Hashimoto K, Uchiyama H, Yoshizumi T, Kishikawa K, Shimada M, Sugimachi K. Small graft for living donor liver transplantation. Ann Surg , 2001, 233(4): 575-580 doi: 10.1097/00000658-200104000-00014
|
31 |
Dahm F, Georgiev P, Clavien P A. Small-for-size syndrome after partial liver transplantation: defi nition, mechanisms of disease and clinical implications. Am J Transplant , 2005, 5(11): 2605-2610 doi: 10.1111/j.1600-6143.2005.01081.x
|
32 |
Emond J C, Leib M. The living-related liver transplant evaluation: linking risk factors and outcome. Liver Transpl Surg , 1996, 2(5 Suppl 1): S57-S63
|
33 |
Kiuchi T, Ishiko T, Nakamura T, Egawa H, Uemoto S, Inomata Y, Tanaka K. Duct-to-duct biliary reconstruction in living donor liver transplantation. Transplant Proc , 2001, 33(1-2): 1320-1321 doi: 10.1016/S0041-1345(00)02490-8
|
34 |
Sugawara Y, Sano K, Kaneko J, Akamatsu N, Kishi Y, Kokudo N, Makuuchi M. Duct-to-duct biliary reconstruction for living donor liver transplantation: Experience of 92 cases. Transplant Proc , 2003, 35(8): 2981-2982 doi: 10.1016/j.transproceed.2003.10.046
|
35 |
Starzl T E, Groth C G, Brettschneider L, Penn I, Fulginiti V A, Moon J B, Blanchard H, Martin A J Jr, Porter K A. Orthotopic homotransplantation of the human liver. Ann Surg , 1968, 168(3): 392-415 doi: 10.1097/00000658-196809000-00009
|
36 |
Calne R Y, Williams R. Liver transplantation in man. I. Observations on technique and organization in five cases. BMJ , 1968, 4(5630): 535-540 doi: 10.1136/bmj.4.5630.535
|
37 |
Tzakis A, Todo S, Starzl T E. Orthotopic liver transplantation with preservation of the inferior vena cava. Ann Surg , 1989, 210(5): 649-652 doi: 10.1097/00000658-198911000-00013
|
38 |
Polak W G, Nemes B A, Miyamoto S, Peeters P M, de Jong K P, Porte R J, Slooff M J. End-to-side caval anastomosis in adult piggyback liver transplantation. Clin Transplant , 2006, 20(5): 609-616 doi: 10.1111/j.1399-0012.2006.00525.x
|
39 |
Dasgupta D, Sharpe J, Prasad K R, Asthana S, Toogood G J, Pollard S G, Lodge J P. Triangular and self-triangulating cavocavostomy for orthotopic liver transplantation without posterior suture lines: a modified surgical technique. Transpl Int , 2006, 19(2): 117-121 doi: 10.1111/j.1432-2277.2005.00246.x
|
40 |
Absolon K B, Hagihara P F, Griffen W O Jr, Lillehei R C. Experimental and clinical heterotopic liver homotransplantation. Rev Int Hepatol , 1965, 15(8): 1481-1490
|
41 |
Fortner J G, Beattie E J Jr, Shiu M H, Kawano N, Howland W S. Orthotopic and heterotopic liver homografts in man. Ann Surg , 1970, 172(1): 23-32
|
42 |
Chen X P, Qiu F Z, Xia S S. An experimental study of auxiliary partial liver allotransplantation in dogs. Tongji Yike Daxue Xuebao , 1987, 1(1): 15-20 (in Chinese)
|
43 |
Gubernatis G, Pichlmayr R, Kemnitz J, Gratz K. Auxiliary partial orthotopic liver transplantation (APOLT) for fulminant hepatic failure: first successful case report. World J Surg , 1991, 15(5): 660-665 doi: 10.1007/BF01789221
|
44 |
Rela M, Muiesan P, Vilca-Melendez H, Dhawan A, Baker A, Mieli-Vergani G, Heaton N D. Auxiliary partial orthotopic liver transplantation for Crigler–Najjar syndrome type I. Ann Surg , 1999, 229(4): 565-569 doi: 10.1097/00000658-199904000-00017
|
45 |
Onaca N, Sanchez E Q, Melton L B, Netto G J, Glastad K A, Martin P A, Ueno T, Levy M F, Goldstein R M, Klintmalm G B. Cadaveric orthotopic auxiliary split liver transplantation and kidney transplantation: an alternative for type 1 primary hyperoxaluria. Transplantation , 2005, 80(3): 421-424 doi: 10.1097/01.tp.0000168147.88707.80
|
46 |
Morioka D, Kasahara M, Takada Y, Shirouzu Y, Taira K, Sakamoto S, Uryuhara K, Egawa H, Shimada H, Tanaka K. Current role of liver transplantation for the treatment of urea cycle disorders: a review of the worldwide English literature and 13 cases at Kyoto University. Liver Transpl , 2005, 11(11): 1332-1342 doi: 10.1002/lt.20587
|
47 |
Shah S A, Grant D R, Greig P D, McGilvray I D, Adcock L D, Girgrah N, Wong P, Kim R D, Smith R, Lilly L B, Levy G A, Cattral M S. Analysis and outcomes of right lobe hepatectomy in 101 consecutive living donors. Am J Transplant , 2005, 5(11): 2764-2769 doi: 10.1111/j.1600-6143.2005.01094.x
|
48 |
Testa G, Malago M, Valentin-Gamazo C, Lindell G, Broelsch C E. Biliary anastomosis in living related liver transplantation using the right liver lobe: Techniques and complications. Liver Transpl , 2000, 6(6): 710-714 doi: 10.1053/jlts.2000.18706
|
49 |
Gondolesi G E, Varotti G, Florman S S, Mu?oz L, Fishbein T M, Emre S H, Schwartz M E, Miller C. Biliary complications in 96 consecutive right lobe living donor transplant recipients. Transplantation , 2004, 77(12): 1842-1848 doi: 10.1097/01.TP.0000123077.78702.0C
|
50 |
Hanto D W, Fishbein T M, Pinson C W, Olthoff K M, Shiffman M L, Punch J D, Goodrich N P. Liver and intestine transplantation: Summary analysis, 1994-2003. Am J Transplant , 2005, 5(4 Pt 2): 916-933 doi: 10.1111/j.1600-6135.2005.00839.x
|
51 |
Malagó M, Testa G, Frilling A, Nadalin S, Valentin-Gamazo C, Paul A, Lang H, Treichel U, Cicinnati V, Gerken G, Broelsch C E. Right living donor liver transplantation: An option for adult patients: Single institution experience with 74 patients. Ann Surg , 2003, 238(6): 853-862
|
52 |
Marcos A, Killackey M, Orloff M S, Mieles L, Bozorgzadeh A, Tan H P. Hepatic arterial reconstruction in 95 adult right lobe living donor liver transplants: Evolution of anastomotic technique. Liver Transpl , 2003, 9(6): 570-574 doi: 10.1053/jlts.2003.50093
|
53 |
Tan H P, Marcos A. Hepatic arterial anatomy for right liver procurement from living donors. Liver Transpl , 2004, 10(1): 134-135 doi: 10.1002/lt.20028
|
54 |
Renz J F, Kin C J, Saggi B H, Emond J C. Chapter 47: Outcomes of living donor liver transplantation. In: Busuttil R W, Klintmalm G B, eds. Transplantation of the Liver . Philadelphia: Elsevier, 2005:713-724 .
|
55 |
Pomposelli J J, Verbesey J, Simpson M A, Lewis W D, Gordon F D, Khettry U, Wald C, Ata S, Morin D, Garrigan K, Jenkins R L, Pomfret E A. Improved survival after live donor adult liver transplantation using right lobe grafts: program experience and lessons learned. Am J Transplant , 2006, 6(3): 589-598 doi: 10.1111/j.1600-6143.2005.01220.x
|
56 |
Marcos A, Fisher R A, Ham J M, Shiffman M L, Sanyal A J, Luketic V A, Sterling R K, Fulcher A S, Posner M P. Liver regeneration and function in donor and recipient after right lobe adult to adult living donor liver transplantation. Transplantation , 2000, 69(7): 1375-1379 doi: 10.1097/00007890-200004150-00028
|
57 |
Kawasaki S, Makuuchi M, Ishizone S, Matsunami H, Terada M, Kawarazaki H. Liver regeneration in recipients and donors after transplantation. Lancet , 1992, 339(8793): 580-581 doi: 10.1016/0140-6736(92)90867-3
|
58 |
Nakagami M, Morimoto T, Itoh K, Arima Y, Yamamoto Y, Ikai I, Yamaoka Y. Patterns of restoration of remnant liver volume after graft harvesting in donors for living related liver transplantation. Transplant Proc , 1998, 30(1): 195-199 doi: 10.1016/S0041-1345(97)01229-3
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