Growing experience with the liver splitting technique and favorable results equivalent to those of whole liver transplant have led to wider application of split liver transplantation (SLT) for adult and pediatric recipients in the last decade. Conversely, SLT for two adult recipients remains a challenging surgical procedure and outcomes have yet to improve. Differences in organ shortages together with religious and ethical issues related to cadaveric organ donation have had an impact on the worldwide distribution of SLT. Despite technical refinements and a better understanding of the complex liver anatomy, SLT remains a technically and logistically demanding surgical procedure. This article reviews the surgical and clinical advances in this field of liver transplantation focusing on the role of SLT and the issues that may lead a further expansion of this complex surgical procedure.

Lauterio, A., Di Sandro, S., Concone, G., De Carlis, R., Giacomoni, A., De Carlis, L. (2015). Current status and perspectives in split liver transplantation. WORLD JOURNAL OF GASTROENTEROLOGY, 21(39), 11003-11015 [10.3748/wjg.v21.i39.11003].

Current status and perspectives in split liver transplantation

Lauterio, Andrea;De Carlis, Luciano
2015

Abstract

Growing experience with the liver splitting technique and favorable results equivalent to those of whole liver transplant have led to wider application of split liver transplantation (SLT) for adult and pediatric recipients in the last decade. Conversely, SLT for two adult recipients remains a challenging surgical procedure and outcomes have yet to improve. Differences in organ shortages together with religious and ethical issues related to cadaveric organ donation have had an impact on the worldwide distribution of SLT. Despite technical refinements and a better understanding of the complex liver anatomy, SLT remains a technically and logistically demanding surgical procedure. This article reviews the surgical and clinical advances in this field of liver transplantation focusing on the role of SLT and the issues that may lead a further expansion of this complex surgical procedure.
Articolo in rivista - Articolo scientifico
Allocation policy; Ex vivo; Graft sharing; In situ; Liver transplantation; Organ shortage; Segmental liver; Split liver; Waiting list;
Allocation policy; Ex vivo; Graft sharing; In situ; Liver transplantation; Organ shortage; Segmental liver; Split liver; Waiting list; Age Factors; Donor Selection; Humans; Liver Transplantation; Patient Selection; Risk Assessment; Risk Factors; Tissue Donors; Treatment Outcome; Waiting Lists; Gastroenterology
English
2015
21
39
11003
11015
none
Lauterio, A., Di Sandro, S., Concone, G., De Carlis, R., Giacomoni, A., De Carlis, L. (2015). Current status and perspectives in split liver transplantation. WORLD JOURNAL OF GASTROENTEROLOGY, 21(39), 11003-11015 [10.3748/wjg.v21.i39.11003].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/203813
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