Incidence and Outcome of Small-for-Size Liver Grafts Transplanted in Adult Recipients

J H Nguyen; D M Harnois

doi:10.1016/j.transproceed.2017.12.007

Incidence and Outcome of Small-for-Size Liver Grafts Transplanted in Adult Recipients

Transplant Proc. 2018 Jan-Feb;50(1):198-201. doi: 10.1016/j.transproceed.2017.12.007.

Authors

J H Nguyen¹, D M Harnois²

Affiliations

¹ Divisions of Transplant Surgery and Transplant Hepatology, Department of Transplantation, Mayo Clinic Florida, Jacksonville, Florida. Electronic address: nguyen.justin@mayo.edu.
² Divisions of Transplant Surgery and Transplant Hepatology, Department of Transplantation, Mayo Clinic Florida, Jacksonville, Florida.

PMID: 29407308
DOI: 10.1016/j.transproceed.2017.12.007

Abstract

Small-for-size liver transplantation (SFS-LT) carries high morbidity and mortality after transplantation. SFS-LT is usually associated with living-donor or deceased-donor split LT; however its incidence and outcome are poorly defined in adult LT recipients who receive whole grafts (WLT). In this study, we retrospectively reviewed our cohort of 3,106 deceased-donor LT in adult recipients. We found that among the 31 split LTs, 11 (35.5%) were SFS. In contrast, there only 1.08% of the whole-graft transplants (31 out of 2,868) were SFS. Although less common, SFS-WLT is associated with poorer long-term outcome of both graft and patient survivals.

Publication types

Evaluation Study

MeSH terms

Adult
Female
Graft Survival
Humans
Liver / anatomy & histology*
Liver Transplantation / methods
Liver Transplantation / mortality*
Living Donors
Male
Middle Aged
Organ Size
Retrospective Studies
Transplants / anatomy & histology*
Treatment Outcome