Optimizing liver division technique for procuring left lateral segment grafts - new anatomical insights

Gianvincenzo Sparacia, Giuseppe Mamone, Roberto Cannella, Ambra Di Piazza, Giovanni Domenico Gentile, Giuseppe Salvatore Gallo, Settimo Caruso, Vincenzo Carollo

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Abstract

Left liver lobe (left lateral segment) grafts (LLG) is currently the most commonly used graft to transplant children (2/3 of cases currently in Europe); it is prepared by liver division (DL) in both living (LD) and deceased donors (DD) settings. Technically speaking, classical DL is through the parenchyma of segment IV - dividing the main left glissonean pedicle left to the main biliary confluence (trans-hilar (TH) approach): historically, this technique was introduced by Bismuth and Pichlmayr in 1988 in DD setting, and applied one year later for the first successful living donor transplantations by Strong (Figure 1).
Original languageEnglish
Number of pages10
JournalLiver Transplantation
Publication statusPublished - 2020

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