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Large Riedel’s lobe and atrophic left liver in a donor-Accept for transplant or call off?

World Journal of Transplantation 2020年第5期10卷 129-137页

作者： Yuhki Sakuraoka Rashmi Seth Amanda PCS Boteon Moira Perrin J Isaac gowri subash Paolo Muiesan Andrea Schlegel The Liver Unit Queen Elizabeth University Hospital BirminghamBirmingham B152THUnited Kingdom Second Department of Surgery Dokkyo Medical UniversityTokyo 321-0293Japan NIHR Liver Biomedical Research Unit University Hospitals BirminghamBirmingham B152THUnited Kingdom

BACKGROUND In context of suboptimal liver utilisation,grafts with various risk factors are under consideration *** example,impaired vascularity with severe arterial calcifications and modified liver shapes are no longer contraindications and their use depends on the centre policy and experience of the surgical *** liver lobes represent a tongue-like liver shape with inferior projection in the right liver *** development modifications were initially described when patients developed a lesion and subsequently presented with *** here present the first case report in the literature,where such livers with anatomical variations were used for *** SUMMARY We describe here two cases of adult human liver transplantation,where we have accepted two donor livers with modified *** technical considerations for transplantation of such livers,found with enlarged right lobes,or Riedel shape,and hypo-trophic left lateral segment are *** recipients experienced immediate liver function and overall good outcomes with a minimum follow up of 1 *** also provide detailed pictures and outcome analysis in combination with a literature *** The utilisation of donor livers with modified shape,such as Riedel’s Lobe appears safe and will increase the donor pool.

关键词： Case report Anatomical variations Riedel’s lobe Liver utilization Liver transplantation

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