Living donor liver transplantation
Updates to Article Attributes
Living donor liver transplantation ((LDLTLDLT)is a lengthy and complex operation in which lobe or segment from the potential donor is resected and transplanted into the recipient patient after excision of the diseased liver
Techniques
Adults
The most common technique is right hemi-hepatectomyhemihepatectomy, with resection of the right hepatic lobe along a hepatectomy plane to the right of the middle hepatic vein (i.e excluding the middle hepatic vein).
Pediatrics
The most common technique is left lateral segmentectomy, with resection of segments II2 and III3 along a hepatectomy plane runsrunning just to the right of the falciform ligament. Another technique is a left hemi-hepatectomyhemihepatectomy, with resection of the left hepatic lobe (segments II2, III3 and IV4) including the middle hepatic vein.
NB: the hepatic segments were originally numbered by Roman numerals I to VIII, but the Arabic numerals 1 to 8 are now preferred 3
-<p><strong>Living donor liver transplantation</strong> <strong>(LDLT) </strong>is a lengthy and complex operation in which lobe or segment from the potential donor is resected and transplanted into the recipient patient after excision of the diseased liver</p><h4>Techniques</h4><h5>Adults</h5><p>The most common technique is right hemi-hepatectomy, with resection of the right hepatic lobe along hepatectomy plane to the right of the <a title="Middle hepatic vein" href="/articles/hepatic-veins">middle hepatic vein</a> (i.e excluding the middle hepatic vein).</p><h5>Pediatrics</h5><p>The most common technique is left lateral segmentectomy, with resection of segments II and III along hepatectomy plane runs just to the right of the falciform ligament. Another technique is a left hemi-hepatectomy, with resection of the left hepatic lobe (segments II, III and IV) including the middle hepatic vein.</p>- +<p><strong>Living donor liver transplantation</strong> (<strong>LDLT</strong>)<strong> </strong>is a lengthy and complex operation in which lobe or segment from the potential donor is resected and transplanted into the recipient patient after excision of the diseased liver</p><h4>Techniques</h4><h5>Adults</h5><p>The most common technique is right hemihepatectomy, with resection of the right hepatic lobe along a hepatectomy plane to the right of the <a href="/articles/hepatic-veins">middle hepatic vein</a> (i.e excluding the middle hepatic vein).</p><h5>Pediatrics</h5><p>The most common technique is left lateral segmentectomy, with resection of segments 2 and 3 along a hepatectomy plane running just to the right of the falciform ligament. Another technique is a left hemihepatectomy, with resection of the left hepatic lobe (segments 2, 3 and 4) including the middle hepatic vein.</p><p>NB: the hepatic segments were originally numbered by Roman numerals I to VIII, but the Arabic numerals 1 to 8 are now preferred <sup>3</sup></p>
References changed:
- 3. Strasberg SM. Nomenclature of hepatic anatomy and resections: a review of the Brisbane 2000 system. (2005) Journal of hepato-biliary-pancreatic surgery. 12 (5): 351-5. doi:10.1007/s00534-005-0999-7 - Pubmed
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