Right Extended Split Liver Transplantation Compared With Whole Liver Transplantation: Lessons Learned at a Single Center in Latin America—Results From a Match Case-Control Study

GAMBARO, S.E.; ROMERO, P.; PEDRAZA, N.; MOULIN, L.; YANTORNO, S.; RAMISCH, D.; RUMBO, C.; BARROS-SCHELOTTO, P.; DESCALZI, V.; GONDOLESI, G.E.

TRANSPLANTATION PROCEEDINGS

ELSEVIER SCIENCE INC

Año: 2017 vol. 49 p. 2122 - 2128

0041-1345

Background Despite the progressively increasing gap between patients waiting for liver transplant under the Model for End-stage Liver Disease MELD system and the availability of deceased donor organs, the use of right extended split liver grafts (RESLG) has not been accepted by all centers. In this study, we compared the results obtained using RESLG vs a group of matched whole liver graft (WLG) recipients at a single center in Latin America. Methods A single-center retrospective review performed between August 2009 and December 2015. Results Fifteen RESLGs were implanted to recipients between 13 and 70 years of age; 80% were performed ex situ. The ?biological MELD? score for the RESLG group was 17.5 ± 5.6, and it was 12.8 ± 4.5 for the WLG group (P =.01). Cold ischemia times were significantly longer in RESLG recipients compared with WLG recipients (528 minutes vs 420 minutes; P