{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:33:52Z","timestamp":1790660032694,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:00:00Z","timestamp":1551312000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:00:00Z","timestamp":1551312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Split\u2010liver transplantation (SLT) is a valuable option for optimizing the use of good\u2010quality deceased donor grafts. It is not routinely reported outside the West because of limited deceased donor numbers, technical and organizational constraints, lack of experience, and a predominant living donor liver transplantation (LDLT) practice. At our center, 20% of the liver transplantations (LTs) are from deceased donors. We report our experience of SLT and compare outcomes with pediatric and adult LDLT recipients. A prospectively maintained database of all LT recipients between September 2009 and March 2017 was analyzed. Each pediatric SLT recipient was matched to 2 pediatric LDLT recipients for age, weight, urgency, and year of transplant. Each adult SLT recipient was similarly matched to 2 adult LDLT recipients for age, Model for End\u2010Stage Liver Disease score, and year of transplant. Intraoperative and postoperative parameters, including recovery time, morbidity (biliary and vascular complications, Clavien grade &gt;IIIA complications), and mortality were compared. In total, 40 SLTs were performed after splitting 20 deceased donor livers (in situ, n\u00a0=\u00a011; hybrid split, n\u00a0=\u00a03; and ex vivo, n\u00a0=\u00a06). Recipients included 22 children and 18 adults. There were 18 livers that were split conventionally (extended right lobe and left lateral segment [LLS]), and 2 were right lobe\u2013left lobe SLTs. Also, 3 LLS grafts were used as auxiliary grafts for metabolic liver disease. Perioperative mortality in SLT recipients occurred in 3 patients (2 children and 1 adult). Incidence of vascular, biliary, and Clavien grade &gt;IIIA complications were similar between matched adult and pediatric SLT and LDLT groups. In conclusion, SLT is an effective technique with outcomes comparable to living donor grafts for adult and pediatric recipients. Using SLT techniques at centers with limited deceased donors optimizes the use of good\u2010quality whole grafts and reduces the gap between organ demand and availability.<\/jats:p>","DOI":"10.1002\/lt.25405","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T14:24:41Z","timestamp":1545834281000},"page":"450-458","source":"Crossref","is-referenced-by-count":21,"title":["Feasibility and Safety of Split\u2010Liver Transplantation in a Nascent Framework of Deceased Donation"],"prefix":"10.1097","volume":"25","author":[{"given":"Ramkiran","family":"Cherukuru","sequence":"first","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mettu Srinivas","family":"Reddy","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naresh P.","family":"Shanmugam","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Rajalingam","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venugopal","family":"Kota","sequence":"additional","affiliation":[{"name":"Gleneagles Global Hospital,Hyderabad,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasanthakumar","family":"Gunasekaran","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gomathy","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilankumaran","family":"Kaliamoorthy","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Rela","sequence":"additional","affiliation":[{"name":"Dr. Rela Institute and Medical Center,Chennai,India"},{"name":"Bharath Institute of Higher Education and Research,Chennai,India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,2,28]]},"reference":[{"key":"lt25405-bib-0001-20240115","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1002\/lt.24015","article-title":"Vasculobiliary complications following adult right lobe split liver transplantation from the perspective of reconstruction techniques","volume":"21","year":"2015","journal-title":"Liver 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Current status of deceased donor split liver transplantation in Japan","volume":"22","year":"2015","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"lt25405-bib-0019-20240115","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1001\/archsurg.2011.218","article-title":"Outcomes with split liver transplantation in 106 recipients: the University of California, San Francisco, experience from 1993 to 2010","volume":"146","year":"2011","journal-title":"Arch Surg"},{"key":"lt25405-bib-0020-20240115","doi-asserted-by":"crossref","first-page":"243","DOI":"10.7182\/pit2015303","article-title":"Clinical outcomes of right\u2010lobe split\u2010liver versus orthotopic liver transplants from donors more than 70 years old","volume":"25","year":"2015","journal-title":"Prog Transplant"},{"key":"lt25405-bib-0021-20240115","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1002\/lt.24459","article-title":"Liver transplantation in India","volume":"22","year":"2016","journal-title":"Liver Transpl"},{"key":"lt25405-bib-0022-20240115","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0975-7341.118718","article-title":"National statistics of road traffic accidents in India","volume":"6","year":"2013","journal-title":"J Orthop Traumatol Rehabil"},{"key":"lt25405-bib-0023-20240115","doi-asserted-by":"crossref","first-page":"11003","DOI":"10.3748\/wjg.v21.i39.11003","article-title":"Current status and perspectives in split liver transplantation","volume":"21","year":"2015","journal-title":"World J Gastroenterol"}],"container-title":["Liver Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flt.25405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01445473-201903000-00015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T01:30:01Z","timestamp":1705282201000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01445473-201903000-00015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,28]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.25405","relation":{},"ISSN":["1527-6465","1527-6473"],"issn-type":[{"value":"1527-6465","type":"print"},{"value":"1527-6473","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,28]]}}}