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Dual graft living donor liver transplantation – a case report

Vinayak NikamInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, India. [email protected]Mohanka RaviInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, IndiaAnkush GolharInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, IndiaRashmi BhadeInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, IndiaRao PrashanthaInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, IndiaParul GadreInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, IndiaAnurag ShrimalInstitute of Liver Diseases, HPB Surgery and Transplantation, Global Hospital, 35, Dr. E Borges Road Opp. Shirodkar High School, Parel, Room No- 202, 2nd Floor, Mumbai, Maharashtra, 400012, India
2019en
ABI

Annotatsiya

BACKGROUND: Living donor liver transplantation (LDLT) has emerged as an equally viable option to deceased donor liver transplant for treating end stage liver disease patients. Optimising the recipient outcome without compromising donor safety is the primary goal of LDLT. Achieving the adequate graft to recipient weight ratio (GRWR) is important to prevent small for size syndrome which is an uncommon but potentially lethal complication of LDLT. CASE PRESENTATION: Here we describe a case of successful dual lobe liver transplant for a 32 years old patient with ethanol related end stage liver disease. A right lobe graft without middle hepatic vein and another left lateral sector graft were transplanted successfully. Recipient and both donors recovered uneventfully. CONCLUSION: Dual lobe liver transplant is a feasible strategy to achieve adequate GRWR without compromising donor safety.

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