6533b7d7fe1ef96bd126844e

RESEARCH PRODUCT

Optimizing Liver Division Technique for Procuring Left Lateral Segment Grafts: New Anatomical Insights.

Giuseppe Salvatore GalloGiovanni GentileGiuseppe MamoneFabrizio Di FrancescoSettimo CarusoAmbra Di PiazzaRoberto CannellaVincenzo CarolloGianvincenzo SparaciaChristine CannataciJean De Ville De Goyet

subject

Transplantationmedicine.medical_specialtyHepatologybusiness.industrymedicine.medical_treatmentLiver transplantation living donor liver transplantation liver imaging. pediatric liver transplantationLiver transplantationLiving donorSurgeryLiver TransplantationLiverLeft liver lobeParenchymaLiving DonorsMedicineHepatectomyHumansSurgeryLateral segmentbusinessLiving donor liver transplantation

description

Left liver lobe (left lateral segment) grafts (LLG) is currently the most commonly used graft to transplant children (2/3 of cases currently in Europe); it is prepared by liver division (DL) in both living (LD) and deceased donors (DD) settings. Technically speaking, classical DL is through the parenchyma of segment IV - dividing the main left glissonean pedicle left to the main biliary confluence (trans-hilar (TH) approach): historically, this technique was introduced by Bismuth and Pichlmayr in 1988 in DD setting, and applied one year later for the first successful living donor transplantations by Strong (Figure 1).

10.1002/lt.25895https://pubmed.ncbi.nlm.nih.gov/32945611