Abstract
The feasibility of splitting the liver prior to transplantation depends on the surgical application of the anatomical segmentation of the liver, as described by Couinaud [1]. The technique was first described by Pichlmayr in 1988 [2] in an adult and a child. Extending its use together with that of liver reduction techniques (in which a large volume of healthy liver may be discarded) [3], and increasing experience have considerably reduced the number of children awaiting liver transplantation [4]. However, the number of patients waiting for a liver to be transplanted increases as new indications are added and makes the scarcity of available organs more and more serious; with adult potential recipients accounting for >95% of the waitinglist deaths [5].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Couinaud C (1957) Le foie. Etudes anatomiques et chirurgicales. Masson, Paris
Pichlmayr R, Ringe B, Gubernatis G, Hauss J, Bunzendahl H (1988) Transplantation einer Spenderleber auf zwei Empfänger (Split liver transplantation). Eine neue Methode in der Weiterentwicklung der Lebersegment Transplantation. Langenbecks Archiv für Chirurgie 373:127–130
Bismuth H, Houssin D (1984) Reduced-size orthotopic liver graft in hepatic transplantation in children. Surgery 95:367–370
Busuttil RW, Goss JA (1999) Split liver transplantation. Review. Ann Surg 229:313–321
Smith CME (1977) Annual Report of the US Scientific Registry of Transplant Recipients and the Organ Procurement and Transplantation Network — Transplant Data: 1988–1996. UNOS, Richmond, VA, and the Division of Transplantation, Bureau of Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD
Bismuth H, Morino M, Castaing D, et al. (1989) Emergency orthotopic liver transplantation in two patients using one donor liver. Br J Surg 76:722–724
Azoulay D, Castaing D, Adam R, et al. (2000) Transplantation of three adult patients with one cadaveric graft: wait or innovate. Liver Transplant Surg 6:239–240
Azoulay D, Castaing D, Adam R, et al. (2001) Split liver transplantation for two adult recipients: feasibility and long term outcomes. Ann Surg 233(4):565–574
Azoulay D, Astarcioglu I, Bismuth H, et al. (1996) Split-liver transplantation: The Paul Brousse policy. Ann Surg 224:737–748
Rogiers X, Malago M, Gawad K, et al. (1996) In situ splitting of cadaveric livers: the ultimate expansion of the donor pool. Ann Surg 224:331–341
Edwards EB, Roberts JP, McBride MA, et al. (1999) The effect of the volume of procedures at transplantation centers on mortality after liver transplantation. N Engl J Med 341:2049–2053
European Transplant Registry (1999) Data analysis 05/1968-06/1999. ELTR, Villejuif
Adam R, Castaing D, Bismuth H (1993) Transplantation of small donor livers in adult recipients. Transplant Proc 25:1105–1106
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Azoulay, D., Marin-Hargreaves, G., Bismuth, H. (2002). Split liver transplant for two adults: initial experience at Paul Brousse Hospital. In: Rogiers, X., Bismuth, H., Busuttil, R.W., Broering, D.C., Azoulay, D. (eds) Split liver transplantation. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57523-5_18
Download citation
DOI: https://doi.org/10.1007/978-3-642-57523-5_18
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-7985-1256-6
Online ISBN: 978-3-642-57523-5
eBook Packages: Springer Book Archive