ESOT: Extra-Small-For-Size Grafts In Living Donor Liver Transplantation

Dr. Yuji Seojima of the Kyushu University, Fukuoka, Japan presented today his study regarding ESFS grafts.

Among their 244 LDLT (71 right lobe and 143 LL), 15 were less than 30% of the graft-to-standard liver volume ratio. All of the ESFSG were left lobe grafts. The mean graft weight was 301 grams.

Several technical modifications were necessary such as: AOLT (n=2), temporal hemiportocaval shunt (n=1), splenectomy (n=1). Four grafts were lost to chronic rejection, late portal vein thrombosis, de novo lung cancer, and hepatic infarction.

They concluded that the ESFSG can be used safely in selected cases with appropiate technical modifications, careful patient management and the accumulation of experience.

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ESOT: Adult-To-Adult Living Donor Liver Transplantation Using Dual Grafts

Dr. Chih-Chi Wang from the Department of Surgery at Kaohsiung Hospital, Taiwan, presented at the ESOT Congress, Prague, their experience with dual grafts for living donor liver transplantation.

They presented a prospective study including 150 adult LDLT and 5 dual graft transplantations. According to their results, 2 recipients received 1 right lobe and 1 left lobe, and the other two received two left lobes.

They concluded that dual graft transplantation provides sufficient volume in the recipient without jeopardizing donor safety. They also added that it should be considered and performed by an experienced center when a single donor is rejected based on volumetry requirements.

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