Living Donor Liver Transplantation with Small Left Lobe Grafts: Prospective Validation of Utility of Splenectomy in Selected Recipients

14 January 2025 : Original article

Hajime Matsushima^1ABCDEF*, Akihiko Soyama

^1BCD, Takanobu Hara

^1BCD, Takashi Hamada

^1BCD, Yuta Kawaguchi^1BCD, Kazushige Migita^1BCD, Ayaka Satoh^1BCD, Yamashita Mampei

^1BCD, Hajime Imamura

^1BCD, Ayaka Kinoshita^1BCD, Tomohiko Adachi^1BCD, Susumu Eguchi^1BCD

DOI: 10.12659/AOT.946374

Ann Transplant 2025; 30:e946374

Introduction Material and Methods Results Discussion Conclusions References

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Table 3 Summary of patients who received living donor liver transplantation with left lobe grafts in era 3.

	Previous policy			Current policy	P*
	Era 1 (n=41)	Era 2 (n=17)	Total (n=58)	Era 3 (n=8)
	1.2005–12.2014	1.2015–3.2021	1.2005–3.2021	4.2021–1.2024
Splenectomy	21 (51.2%)	6 (35.3%)	27 (46.6%)	6 (75.0%)	0.258
Early allograft dysfunction	30 (73.2%)	5 (29.4%)	2 (60.3%)	2 (25.0%)	0.125
Small-for-size syndrome	24 (58.5%)	8 (47.1%)	32 (55.2%)	2 (25.0%)	0.143
^* Previous policy vs current policy.

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