Abstract:Objective:To evaluate the clinical application of adult-to-adult living donor liver transplantation (A-A LDLT).
Methods:The clinical data of 3 cases of A-A LDLT performed in our hospital between February 2007 and July 2007 were retrospectively analyzed.
Results:Of the three grafts, 1 case was a right lobe graft (not including the middle hepatic vein), and 2 cases were left lobe grafts (including the middle hepatic vein and caudate lobe). GV/SLV were all more than 40％. The 3 pairs of recipients and donors recovered uneventfully. No small-for-size syndrome or severe complications occurred. The recovery of hepatic function of left lobe donors was faster than that of the right lobe donor.
Conclusions:If GV/SLV of left lobe graft is more than 40％, the left lobe living donor should be preferably selected. There is no need for placement of drainage tube when the bile duct is reconstructed. A-A LDLT is a safe and effective procedure for treatment of end-stage liver diseases.