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Órgano Oficial de la Asociación Mexicana de Hepatología
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2016, Number 1

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Ann Hepatol 2016; 15 (1)

Liver transplantation utilizing a severely fractured graft: every organ counts

Fong ZV, Patel MS, Yeh H, Markmann JF, Vagefi PA
Full text How to cite this article

Language: English
References: 4
Page: 131-134
PDF size: 261.00 Kb.


Key words:

Liver trauma, Liver transplantation, Organ pool expansion.

ABSTRACT

In our current era where shortage of liver grafts is commonplace, utilization of traumatic liver grafts may represent an opportunity to expand the organ donor pool without compromising graft survival. However, data on liver transplantation using a fractured liver allograft is scarce, with only small case series and reports found in the literature. In this report, we describe our experience with utilizing a liver graft with grade IV hepatic fracture for transplantation. At 12 months follow up, the recipient has excellent graft function and has regained an excellent quality of life. We demonstrate that the ability to safely use a fractured liver graft represents an additional avenue for expansion of the deceased donor population, especially in regions with prolonged waitlist times.


REFERENCES

  1. Freeman RB Jr., Steffick DE, Guidinger MK, Farmer DG, Berg CL, Merion RM. Liver and intestine transplantation in the United States, 1997-2006. Am J Transpl 2008; 8: 958-76.

  2. Vagefi PA, Feng S, Dodge JL, Markmann JF, Roberts JP. Multiple listings as a reflection of geographic disparity in liver transplantation. Journal of the American College of Surgeons 2014: 219: 496-504.

  3. Geenen IL, Sosef MN, Shun A, Crawford M, Gallagher J, Strasser S, Stormon M, et al. Usage and outcomes of deceased donor liver allografts with preprocurement injury from blunt trauma. Liv Transpl 2009; 15: 321-5.

  4. Chen G, Wang H, Chen L, Yang S, Wang S, Bie P, Yang Z, et al. Living donor liver transplantation using a left lobe graft from a donor with severe liver trauma: a 7-year follow-up. Liv Transpl 2009; 15: 1370-3.




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Ann Hepatol. 2016;15