Feasibility of in situ full-right full-left split liver transplantation

Abstract

Due to the shortage of organs for transplantation, different surgical alternatives have been developed, as split liver transplantation (SLT) and living-donor liver transplantation. In classical SLT, the liver of a cadaveric donor is divided and two allografts are obtained, one corresponding to segments 2-3 and the other to segments 1, 4–8. In order to produce two grafts from one liver for two adult recipients, splitting of the liver can create a right graft including segments 5–8 and a left graft with segments 1–4. Splitting of the liver can be performed during procurement (in situ) or on the bench (ex situ). The aim of our study is to describe the first case of in situ full-right full-left split liver transplantation, with focus on donor and recipient surgery.