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- W2894820538 abstract "Introduction: Dual lobe liver transplant is technically challenging and infrequently done across the globe. Patients and methods: We prospectively collected data of 3 patients with end stage liver disease who underwent dual lobe living donor liver transplant at our institute. Results: Dual lobe transplant was done in 3 patients with mean age of 54 years (46–58) of which 2 were male and one was female. Mean GRWR with single liver was 0.61 and was considered inadequate for patients with Child C status. Mean GRWR expected with Dual Lobe was 0.85(0.83–0.87). Types of grafts used – right lobe with left lateral graft in one, right lobe with left lobe graft in another and both left lobes were used as graft in the third patient. Autologous vein graft was used for reconstructing the MHV in 2 patients with right lobe while in twin left lobes a PTFE graft was used as extension. Biliary construction was done using a combination of duct to duct and Roux en Y hepaticojejunostomy in all patients. The mean operating time was 1060 minutes. Both the lobes of liver were implanted sequentially thereby reducing the Cold Ischemia for all the liver grafts. Mean hospital stay of 18 days. There was no major donor morbidity and mortality. Median follow up at 18 months, one recipeint had biliary stenosis requiring percutaneous biliary stenting, all donors are doing well. Conclusion: Dual lobe liver transplantation, though technically a complex procedure, can be safely performed in an experienced centre with good outcome." @default.
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- W2894820538 date "2018-09-01" @default.
- W2894820538 modified "2023-10-14" @default.
- W2894820538 title "Two to tango – A case for dual lobe liver transplantation" @default.
- W2894820538 doi "https://doi.org/10.1016/j.hpb.2018.06.2464" @default.
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