Insights in living-donor liver transplantation associated with two-stage total hepatectomy: First case in neuroendocrine tumor metastases and functional assessment techniques.

Coubeau, Laurent;Iesari, Samuele;Henry, Paulina;D'Abadie, Philippe;Reding, Raymond;et.al.
(2022) Hepatobiliary & Pancreatic Diseases International — Vol. 21, n° 4, p. 392-395 (2022)

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Authors
  • Coubeau, LaurentUCLouvain
    Author
  • Iesari, Samueleorcid-logoUCLouvain
    Author
  • Henry, Paulinaorcid-logoUCLouvain
    Author
  • D'Abadie, PhilippeUCLouvain
    Author
  • Vanbuggenhout, AudeUCLouvain
    Author
  • Reding, RaymondUCLouvain
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Abstract
(en) TO THE EDITOR, While organ shortage commonly dooms patients on waiting list, alternative options as living-donor liver transplantation (LDLT) are assiduously sought. The principles of liver surgery rule LDLT: there must be sufficient residual volume in the donor and sufficient implanted volume for the recipient. However, the liver left-to-right segmentation confronts us with a respective volume distribution of 1/3–2/3 or even 1/4–3/4. The volume of the left lobe is then too small to ensure the “hepatostat” in the recipient, whereas the procurement of a right graft would jeopardize liver residual function in the donor. [...]
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Coubeau, L., Iesari, S., Henry, P., D’Abadie, P., Vanbuggenhout, A., & Reding, R. (2022). Insights in living-donor liver transplantation associated with two-stage total hepatectomy: First case in neuroendocrine tumor metastases and functional assessment techniques. Hepatobiliary & Pancreatic Diseases International, 21(4), 392-395. https://doi.org/10.1016/j.hbpd.2021.08.007 (Original work published 2022)