Abstract
Split liver transplantation (SLT) creates two marginal grafts from one perfect deceased donor liver to save two recipients simultaneously. Since its inception in 1988, SLT has contributed tremendously to decreased mortality on the pediatric liver transplant waiting list. Despite unfavorable survival rates in the early experience of SLT for adults, successful outcomes have been reported by experienced centers, further substantiating the feasibility of this technique. Indeed, various advancements have encouraged more frequent use of this technique to overcome the shortage of donor livers. More than two decades of experience have documented the criteria necessary for SLT to achieve equivalent or superior outcomes to whole liver transplantation. Still, substantial challenges in surgical techniques, allocation, logistics, and ethics persist, and SLT remains underutilized worldwide. This chapter outlines the current state of SLT, focusing on donor and recipient selection, surgical techniques, outcomes, and current and future challenges such as allocation and associated ethical issues.
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© 2016 Springer International Publishing AG
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Hashimoto, K., Eghtesad, B. (2016). Split Liver Transplantation. In: Doria, C. (eds) Contemporary Liver Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-05543-5_7-2
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DOI: https://doi.org/10.1007/978-3-319-05543-5_7-2
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Publisher Name: Springer, Cham
Online ISBN: 978-3-319-05543-5
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Chapter history
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Latest
Split Liver Transplantation- Published:
- 22 September 2016
DOI: https://doi.org/10.1007/978-3-319-05543-5_7-2
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Original
Split Liver Transplantation- Published:
- 14 August 2015
DOI: https://doi.org/10.1007/978-3-319-05543-5_7-1