{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T23:42:27Z","timestamp":1769038947969,"version":"3.49.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Split liver transplantation (SLT) expands the donor pool, but optimal arterial configuration remains debated. We report outcomes of right-sided\n                      <jats:italic>in situ<\/jats:italic>\n                      SLT with systematic celiac trunk preservation with the right graft.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective Multicentre analysis of 36 consecutive adult recipients of right-sided split grafts (2015\u20132025) with celiac trunk preservation. Primary outcomes included vascular complications, patient\/graft survival, and comparison with published benchmarks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Recipients (mean age 54.0\u2009\u00b1\u200912.6 years, 53% male) underwent SLT for HCV (30.6%), NASH (19.4%), and other etiologies. Major vascular complications occurred in 12\/36 (33%) of cases, though life-threatening events remained uncommon: HAT 2.8%, postoperative PVT 5.6%, arterial stenosis 5.6%. Biliary complications occurred in 25% (ischemic 8.3%, technical 17%). Patient survival was 86% at 1 year and 81% at 3 years. Reoperation rate was 47%, primarily for biliary complications (17%) and intra-abdominal abscess (14%). Retransplantation rate was 11%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Right-sided SLT with celiac trunk preservation achieves excellent vascular outcomes, with both HAT (2.8%) and PVT (5.6%) rates meeting international benchmarks. These results strongly support this configuration as the preferred technical approach for\n                      <jats:italic>in situ<\/jats:italic>\n                      split liver transplantation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1737518","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T18:10:47Z","timestamp":1768587047000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["In\u00a0situ split liver transplantation with celiac trunk allocation: technical evolution and outcomes supporting right-sided preservation"],"prefix":"10.3389","volume":"12","author":[{"given":"Fahim","family":"Kanani","sequence":"first","affiliation":[{"name":"Department of Transplant Surgery, Rabin Medical Center, Beilinson Hospital, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Petah Tikva, Israel"]},{"name":"Department of Transplant Surgery, Tel Aviv Sourasky Medical Center, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Tel Aviv, Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naheel","family":"Mahajna","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Rabin Medical Center, Beilinson Hospital, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Petah Tikva, Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aviad","family":"Gravetz","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Rabin Medical Center, Beilinson Hospital, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Petah Tikva, Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micheal","family":"Gurevich","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Rabin Medical Center, Beilinson Hospital, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Petah Tikva, Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nir","family":"Lubezky","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Tel Aviv Sourasky Medical Center, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Tel Aviv, Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronli","family":"Ovadya","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Tel Aviv Sourasky Medical Center, Affiliated to the Gray Faculty of Medicine, Tel Aviv University","place":["Tel Aviv, Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eviatar","family":"Nesher","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Rabin Medical Center, Beilinson Hospital, Affiliated to the Gray Faculty of Medicine, Tel Aviv 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