Abstract
BackgroundLiving 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 presentationHere 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.ConclusionDual lobe liver transplant is a feasible strategy to achieve adequate GRWR without compromising donor safety.
Highlights
Living donor liver transplantation (LDLT) has emerged as an viable option to deceased donor liver transplant for treating end stage liver disease patients
Almost 33% of potential live donors are rejected as liver donors for adult recipients because of calculations suggesting a small for size (SFS) graft, a small future liver remnant (FLR) and steatosis [4]
Donor graft harvesting Right lobe without MHV graft was harvested from Donor I after the division of right anterior and posterior sectoral ducts (RASD and RPSD), right hepatic artery (RHA), right portal vein (RPV), right hepatic vein (RHV), and right inferior hepatic vein (RIHV)
Summary
Dual lobe liver transplant is a feasible strategy to achieve adequate GRWR without compromising donor safety.
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