Graft inflow modulation in adult-to-adult living donor liver transplantation: a systematic review

Small-for-size syndrome (SFSS) has an incidence between 0 and 43% in small-for-size graft (SFSG) adult living donor liver transplantation (LDLT). Portal hypertension following reperfusion and the hyperdynamic splanchnic state are reported as the major triggering factors of SFSS. Intra- and postoperative strategies to prevent or to reduce its onset are still under debate.We analyzed graft inflow modulation (GIM) during adult LDLT considering the indications, efficacy of the available techniques, changes in hemodynamics and outcomes.

Source: Transplantation Reviews - December 6, 2016 Category: Transplant Surgery Authors: Roberto I. Troisi, Giammauro Berardi, Federico Tomassini, Mauricio Sainz-Barriga Source Type: research