Inflow Modulation in Adult Living Donor Liver Transplant to Reduce Risk of Small-for-Size Syndrome (SFSS)

Ling XS, Koh YX, Teo JY, Goh BKP, Lee SY, Cheow PC, Chung AYF, Chan CY and Prema Raj J

Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore
Duke NUS Medical School, Singapore

^*Correspondance to: Koh Ye Xin 

 PDF  Full Text DOI: 10.25107/2474-1647.2180

Abstract

Small for Size Syndrome (SFSS) is a specific problem in Living Donor Liver Transplant (LDLT) where the pathogenesis in SFSS seems to be primarily linked to graft over perfusion. Various methods of modulating portal inflow to reduce excessive flow to the liver without compromising liver function has been described. We report the outcome of 4 LDLT cases in which the portal inflow was modulated by performing a splenectomy and a temporary hemi-portocaval shunt.

Keywords

Liver transplant; SFSS; LDLT; DDLT

Cite the article

Ling XS, Koh YX, Teo JY, Goh BKP, Lee SY, Cheow PC. Inflow Modulation in Adult Living Donor Liver Transplant to Reduce Risk of Small-for-Size Syndrome (SFSS). Clin Surg. 2018; 3: 2180.