{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:36:16Z","timestamp":1791826576847,"version":"4.3.4"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2009,10,28]],"date-time":"2009-10-28T00:00:00Z","timestamp":1256688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>The outcomes of right lobe split (RLS) liver transplantation are variable in adult recipients. This report is an analysis of outcomes of our initial 5-year experience with the right lobe trisegment split graft. A retrospective analysis was performed of the recipient and graft outcomes from July 2002 to March 2007 of all adult recipients of RLS grafts versus recipients of whole grafts (WGs). All data were analyzed with Stata version 8 (Stata Corp., Texas). There were 43 (19.1%) RLS recipients and 182 (80.9%) WG recipients. The median Model for End-Stage Liver Disease score was 13 (7-23) in the RLS group and 18 (6-50) in the WG group (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). Hepatocellular carcinoma and primary sclerosing cholangitis were more common in the RLS group (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05), whereas alcoholic cirrhosis and chronic hepatitis C were more common in the WG group. The median donor age was lower in the RLS group at 39 (13-61) years versus the WG group at 47 (12-79) years (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). Primary nonfunction occurred in 1.6% of the WG patients only. Biliary complications occurred in 28% of the RLS patients versus 28% of the WG patients. Vascular complications occurred in 18% of the RLS patients versus 14% of the WG patients. The retransplantation rate was similar at 2.3% in the RLS group versus 4.9% in the WG group (<jats:italic toggle=\"yes\">P<\/jats:italic> = not significant). Overall 3-year recipient survival was 92.7% in the RLS group versus 82.7% in the WG group (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.284). Graft survival was 88.4% in the RLS group at 3 years versus 78.5% in the WG group (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.304). In conclusion, good outcomes can be achieved with RLS liver transplantation in adult recipients without a detrimental effect on recipient or graft survival. Liver Transpl 15:1586\u20131593, 2009. \u00a9 2009 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.21849","type":"journal-article","created":{"date-parts":[[2009,10,29]],"date-time":"2009-10-29T20:42:57Z","timestamp":1256848977000},"page":"1586-1593","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":24,"title":["Donor and recipient selection leads to good patient and graft outcomes for right lobe split transplantation versus whole graft liver transplantation in adult recipients"],"prefix":"10.1097","volume":"15","author":[{"given":"Charbel","family":"Sandroussi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Crawford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Lockwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Gallagher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Pleass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone I.","family":"Strasser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Shackel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey W.","family":"McCaughan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah J.","family":"Verran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-30-20250326","first-page":"127","article-title":"Transplantation of a donor liver to 2 recipients (splitting transplantation): a new method in the further development of segmental liver transplantation.","volume":"373","author":"Pichelmayr","year":"1988","journal-title":"Langenbecks Arch Surg"},{"key":"R2-30-20250326","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1002\/bjs.1800760723","article-title":"Emergency orthotopic liver transplantation in two patients using one donor liver.","volume":"76","author":"Bismuth","year":"1989","journal-title":"Br J Surg"},{"key":"R3-30-20250326","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1111\/j.1600-6143.2005.00933.x","article-title":"Split liver transplantation: results of statewide usage of trisegmental graft.","volume":"5","author":"Washburn","year":"2005","journal-title":"Am J Transplant"},{"key":"R4-30-20250326","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.transproceed.2006.02.146","article-title":"In situ split liver transplantation for adult and pediatric recipients: an answer to organ shortage.","volume":"38","author":"Cintorino","year":"2006","journal-title":"Transplant Proc"},{"key":"R5-30-20250326","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1002\/lt.20729","article-title":"Biliary complication following adult right lobe ex vivo split liver transplantation.","volume":"12","author":"Wojcicki","year":"2006","journal-title":"Liver Transpl"},{"key":"R6-30-20250326","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1002\/lt.20720","article-title":"Split and whole liver transplant outcomes. A comparative cohort study.","volume":"12","author":"Cardillo","year":"2006","journal-title":"Liver Transpl"},{"key":"R7-30-20250326","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1053\/jlts.2003.50099","article-title":"Clinical experience gained from the use of 120 steatotic donor livers for orthotopic liver transplantation.","volume":"9","author":"Verran","year":"2003","journal-title":"Liver Transpl"},{"key":"R8-30-20250326","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/01.sla.0000109150.89438.bd","article-title":"Splitliver transplantation in the United States: outcomes of a national survey.","volume":"239","author":"Renz","year":"2004","journal-title":"Ann Surg"},{"key":"R11-30-20250326","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/j.transproceed.2005.01.037","article-title":"Use of extended right grafts from in situ split livers in adult liver transplantation: a comparison with wholeliver transplants.","volume":"37","author":"Spada","year":"2005","journal-title":"Transplant Proc"},{"key":"R13-30-20250326","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1111\/j.1600-6143.2004.00594.x","article-title":"Predicted lifetimes for adult and pediatric split versus whole adult liver transplant recipients.","volume":"4","author":"Merion","year":"2004","journal-title":"Am J Transplant"},{"key":"R14-30-20250326","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/S1072-7515(02)01339-X","article-title":"Split liver transplantation and risk to the adult recipient: analysis using matched pairs.","volume":"195","author":"Broering","year":"2002","journal-title":"J Am Coll Surg"},{"key":"R15-30-20250326","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1111\/j.1432-2277.2006.00323.x","article-title":"Extended right split liver graft for primary transplantation in children and adults.","volume":"19","author":"Corno","year":"2006","journal-title":"Transpl 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