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Liver transplantation with monosegment from a living donor

Marcelo EnneClinical and Surgical Hepatology Program, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, Brazil. [email protected]L.F. Pacheco-MoreiraAlexandre CerqueiraE. BalbiMárcia HalpernJoão Luiz PereiraGiuseppe SantaluciaJosther GraciaFlavia Goncalves Coelho De Souza e OliveiraPediatric Intensive Care Unit, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, BrazilGrace Kelly ParanhosPediatric Intensive Care Unit, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, BrazilRosalice MiecznikowskiLucio José Auler de FariaRodrigo Pereira Diaz AndréAdriana Caroli BottinoJosé Manoel Martinho
2004en
ABI

Аннотация

The shortage of organ donors for low-weight liver transplant recipients, especially for small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg. We report here the case of an 8-month-old boy, weighing 6.1 kg, who received a monosegmental graft (segment III) from his grandmother weighing 68 kg. The graft was reduced at the donor surgery, before clamping of the vessels. The donor was discharged on the fourth post-operative day; the recipient had an uneventful post-operative period and was discharged after 22 days.

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