Split-liver transplantation. The Paul Brousse policy

Annals of Surgery
D AzoulayM Johann

Abstract

The authors objective is to report their recent experience with split-liver transplantation, focusing on the results and the impact on organ shortage. There is an insufficient number of organs for liver transplantation. Split-liver transplantation is a method to increase the number of grafts, but the procedure is slow to gain wide acceptance because of its complexity and the poor results reported in previous series. During the year 1995, the authors split 20 of 83 transplantable livers allocated to the authors' center, generating 40 grafts: 23 were transplanted locally and 17 were given to partner centers. During the same period, the authors accepted four split-liver grafts proposed to them by other centers. Overall, 27 split-liver transplantations were done in the authors' unit, accounting for 30% of the 90 transplants performed in 1995. One-year patient and graft survival rates for split-liver transplantation were 79.4% and 78.5%, respectively. Arterial and biliary complications rates were 15% and 22%, respectively, with none leading to graft loss. Primary nonfunction occurred in one case (4%). By splitting 24 of 87 transplantable livers (4 of which were in partner units), a total of 111 transplantations were performed, incre...Continue Reading

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Citations

Sep 9, 1999·Liver Transplantation and Surgery : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·S M StrasbergT K Howard
Jan 29, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·A Marcos
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Feb 12, 2004·Seminars in Hematology·Michael A SilvaDarius F Mirza
Jul 29, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M SpadaG Torre
Dec 26, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·H YersizR W Busuttil
Oct 3, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jean C EmondRonald W Busuttil
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Jan 28, 2004·Annals of Surgery·John F RenzRonald W Busuttil
May 10, 2005·Transplantation·Jong-Sun KimDieter C Broering
Dec 13, 2005·Journal of Gastroenterology and Hepatology·Hanifah OswariLooi C Ee
Feb 18, 2009·World Journal of Gastroenterology : WJG·Marco SpadaBruno Gridelli
Apr 23, 2014·Nature Reviews. Gastroenterology & Hepatology·Maxim NebrigAndreas Pascher
Oct 27, 2009·Digestive Diseases and Sciences·Yuan-Xing LiuShu-Sen Zheng
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Apr 14, 2011·Transplantation Proceedings·S Emre, V Umman
Aug 12, 2008·Current Problems in Surgery·Dieter C BroeringXavier Rogiers
May 25, 2005·Transplant International : Official Journal of the European Society for Organ Transplantation·Andreas Pascher, Peter Neuhaus
Oct 4, 2003·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·John F RenzRonald W Busuttil
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Jun 15, 2006·Transplant International : Official Journal of the European Society for Organ Transplantation·Vittorio CornoMario Strazzabosco

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