{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:32:18Z","timestamp":1789205538238,"version":"build-2803163510"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":2191,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>Partial graft liver recipients with graft weight\/recipient weight (GW\/RW) ratios &lt; 0.8% are thought to have a higher incidence of postoperative complications, including small-for-size syndrome (SFSS). We analyzed a cohort of such recipients and compared those with GW\/RW &lt; 0.8% to those with GW\/RW \u2265 0.8%. Between 1999 and 2008, 107 adult patients underwent partial graft liver transplants: 76 from live donors [living donor liver transplantation (LDLT)] and 31 from deceased donors [split liver transplantation (SLT)]. Of these, 22 had GW\/RW &lt; 0.8% (12 with LDLT and 10 with SLT), and 85 had GW\/RW \u2265 0.8% (64 with LDLT and 21 with SLT). The baseline demographics and median length of follow-up were similar. SFSS developed in 3 recipients with GW\/RW &lt; 0.8% (13.6%) and in 8 recipients with GW\/RW \u2265 0.8% (9.4%; <jats:italic toggle=\"yes\">P<\/jats:italic> = not significant). Other early complications were similar between the 2 groups. Inflow modification with splenic artery occlusion was performed in 13 recipients: 7 with GW\/RW &lt; 0.8% and 6 with GW\/RW \u2265 0.8%. Graft survival at 1 year post-transplant did not differ (91% versus 92%; <jats:italic toggle=\"yes\">P<\/jats:italic> = not significant). In conclusion, GW\/RW did not appear to be the only determinant of outcome after partial liver transplantation. Using techniques such as inflow modification may help to prevent some of the problems seen with smaller grafts.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.21846","type":"journal-article","created":{"date-parts":[[2009,8,28]],"date-time":"2009-08-28T13:12:29Z","timestamp":1251465149000},"page":"1056-1062","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":86,"title":["Graft weight\/recipient weight ratio: How well does it predict outcome after partial liver transplants?"],"prefix":"10.1097","volume":"15","author":[{"given":"Mark J.","family":"Hill","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hughes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tun","family":"Jie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Lake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Payne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Humar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-10-20250327","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/00007890-199901270-00024","article-title":"Impact of graft size mismatching on graft prognosis in liver transplantation from living donors.","volume":"67","author":"Kiuchi","year":"1999","journal-title":"Transplantation"},{"key":"R2-10-20250327","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/S1072-7515(01)00800-6","article-title":"Smallforsize grafts in livingrelated liver transplantation.","volume":"192","author":"Sugawara","year":"2001","journal-title":"J Am Coll Surg"},{"key":"R3-10-20250327","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1111\/j.1432-2277.2004.tb00448.x","article-title":"Is graft size a major risk factor in livingdonor adult liver transplantation?","volume":"17","author":"Shimada","year":"2004","journal-title":"Transpl Int"},{"key":"R4-10-20250327","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1159\/000090333","article-title":"Hyperperfusion syndrome in smallforsize livers.","volume":"37","author":"Glanemann","year":"2005","journal-title":"Eur Surg Res"},{"key":"R5-10-20250327","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1016\/j.transproceed.2007.03.071","article-title":"Smallforsize syndrome secondary to outflow block of the segments V and VIII anastomosessuccessful treatment with transsplenic artery embolization: a case report.","volume":"39","author":"Yan","year":"2007","journal-title":"Transplant Proc"},{"key":"R6-10-20250327","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1053\/jlts.2001.29033","article-title":"Critical graft size in adulttoadult living donor liver transplantation: impact of the recipients disease.","volume":"7","author":"BenHaim","year":"2001","journal-title":"Liver Transpl"},{"key":"R7-10-20250327","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1034\/j.1600-6143.2001.10413.x","article-title":"Split liver transplantation for 2 adult recipients: an initial experience.","volume":"1","author":"Humar","year":"2001","journal-title":"Am J Transplant"},{"key":"R8-10-20250327","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1053\/jlts.2002.34680","article-title":"Technique of splitliver transplant for two adult recipients.","volume":"8","author":"Humar","year":"2002","journal-title":"Liver Transpl"},{"key":"R9-10-20250327","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/01.ccx.0000157080.11117.45","article-title":"The small for size liver syndrome.","volume":"11","author":"Tucker","year":"2005","journal-title":"Curr Opin Crit 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Transpl"},{"key":"R13-10-20250327","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1097\/00000478-200608000-00009","article-title":"Pathophysiologic observations and histopathologic recognition of the portal hyperperfusion or smallforsize syndrome.","volume":"30","author":"Demetris","year":"2006","journal-title":"Am J Surg Pathol"},{"key":"R14-10-20250327","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1016\/j.transproceed.2004.08.036","article-title":"Critical graft size and functional recovery in living donor liver transplantation.","volume":"36","author":"Chui","year":"2004","journal-title":"Transplant Proc"},{"key":"R15-10-20250327","first-page":"625","article-title":"The impact of splenectomy or splenic artery ligation on the outcome of a living donor adult liver transplantation using a left lobe graft.","volume":"51","author":"Shimada","year":"2004","journal-title":"Hepatogastroenterology"},{"key":"R16-10-20250327","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1111\/j.1399-0012.2007.00735.x","article-title":"Successful treatment of smallforsize syndrome in adulttoadult livingrelated liver transplantation: single center series.","volume":"21","author":"Gruttadauria","year":"2007","journal-title":"Clin Transplant"},{"key":"R17-10-20250327","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/j.1600-6143.2007.02144.x","article-title":"Selective hemiportocaval shunt based on portal vein pressure for smallforsize graft in adult living donor liver transplantation.","volume":"8","author":"Yamada","year":"2008","journal-title":"Am J Transplant"},{"key":"R18-10-20250327","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1097\/01.TP.0000063707.90525.10","article-title":"Changes in portal venous pressure in the early phase after living donor liver 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