AbbreviationsCTLN1citrullinemia type 1CUSACavitron ultrasonic surgical aspiratorGRWRgraft‐to‐recipient weight ratioLDliving donorLDLTliving donor liver transplantationLHVleft hepatic veinLLSleft lateral sectionLTliver transplantationMSGmonosegmental graftTO THE EDITOR:Liver transplantation (LT) in infants and small children is still a challenging operation. One obstacle facing this type of operation is the issue of large‐for‐size grafts because too‐large grafts can result in graft compression, splinting of the diaphragm, and abdominal closure with synthetic mesh, which may lead to other complications. Reduction procedures for adult left lateral section (LLS), including hyper‐reduced grafts and monosegmental grafts (MSGs), have recently been developed to eliminate size mismatch in living donor liver transplantation (LDLT) for small children. However, although both of those grafts are created by removing excess parts of the LLS to achieve a target graft weight, the graft thickness of hyper‐reduced grafts cannot be reduced because this strategy employs a simple nonanatomical reduction of the lateral and/or caudal parts of the LLS. Therefore, MSGs of segment 2 are considered more suitable grafts for small children. Recently, MSGs of segment 2 with the preservation of the main Glisson's pedicle of segment 3 have been increasingly frequently adopted because of the ready accessibility of radiological interventional treatment in the event of biliary and vascular complications.
Liver Transplantation – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera