Liver Lobe Graft Side and Outcomes in Living-Donor Liver Transplant With Small-for-Size Grafts

摘要

Objectives : Living-donor liver transplant with small-for-size grafts (graft-to-recipient weight ratio 250 mL/min/100 g graft. Small-for-size syndrome was observed in 6 recipients (14%), but no patient who developed small-for-size syndrome developed liver failure or required revision transplant. The frequency of small-for-size syndrome was significantly greater in patients who had left lobe (4 patients [15%]) than right lobe transplant (2 patients [8%]; P ≤ .05). Graft dysfunction-free survival was significantly greater with right than left lobe grafts. In multivariate analysis, graft side was the only significant risk factor for small-for-size syndrome. Conclusions: In patients having living-donor liver transplant with small-for-size grafts, outcome was better with right than left lobe grafts.