{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:37:10Z","timestamp":1758476230094},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,2,8]],"date-time":"2016-02-08T00:00:00Z","timestamp":1454889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2016,8]]},"abstract":"Abstract<\/jats:title>As the priority of LD<\/jats:styled-content>\u2010Domino LT<\/jats:styled-content> is the safety of the first recipient, limitations and technical difficulties in the second recipient often occur. The most technically challenging part of LD<\/jats:styled-content>\u2010Domino LT<\/jats:styled-content> is the reconstruction of the vessels. For the reconstruction of HV<\/jats:styled-content>s, the native HV<\/jats:styled-content>s were exteriorized as far as possible using a CUSA<\/jats:styled-content> because longer extensive HV<\/jats:styled-content>s are essential for facilitating the reconstruction. At the back table, the HV<\/jats:styled-content>s of the domino graft were sutured together, and the single cuff of the HV<\/jats:styled-content>s was anastomosed to the IVC<\/jats:styled-content> by joining the orifices. The HA<\/jats:styled-content>s, the presence of insufficient length, and multiple vessels in the whole liver rendered the reconstruction more difficult. We determined the dividing sites of the vessels according to the preoperative 3D\u2010CT<\/jats:styled-content> findings obtained in two institutions. This is the first case series using grafts in DLT<\/jats:styled-content> obtained from LDLT<\/jats:styled-content> for patients with MSUD<\/jats:styled-content> between two institutions. In conclusion, LD<\/jats:styled-content>\u2010Domino LT<\/jats:styled-content> is a safe and feasible therapeutic option to expand the donor pool by technical refinement in the reconstruction of the second recipient. Further studies with a greater accumulation of patients and a longer follow\u2010up will be necessary to establish LD<\/jats:styled-content>\u2010Domino LT<\/jats:styled-content> using an MSUD<\/jats:styled-content> donor.<\/jats:p>","DOI":"10.1111\/petr.12681","type":"journal-article","created":{"date-parts":[[2016,2,9]],"date-time":"2016-02-09T08:49:03Z","timestamp":1455007743000},"page":"633-639","source":"Crossref","is-referenced-by-count":17,"title":["Living donor domino liver transplantation using a maple syrup urine disease donor: A case series of three children \u2013 The first report from Japan"],"prefix":"10.1111","volume":"20","author":[{"given":"Masatoshi","family":"Matsunami","sequence":"first","affiliation":[{"name":"Organ Transplantation Center National Center for Child Health and Development Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinari","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Organ Transplantation Center 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