Liver transplantation for polycystic liver and massive hepatomegaly

Salvatore Gruttadauria, Fabrizio di Francesco, Bruno Gridelli

Research output: Contribution to journalArticle

Abstract

Liver tumor and other benign liver diseases such as polycystic liver disease can cause massive hepatomegaly and may represent an indication for liver transplantation (LT) in some instances. In this setting, LT can be extremely difficult and challenging due to its decreased mobility and access to vascular supply. Benefit from either a right or a left partial liver resection during the transplant procedure has been advocated to safely accomplish the hepatectomy of the native liver. Although we believe that partial hepatectomy adds some risk to intra-operative bleeding, we alternatively advise a different approach. We have a successful experience with LT in 6 massive hepatomegaly patients due to giant liver lesions. All the transplant procedures were performed without intermediate partial liver resection, showing that selective use of venovenous bypass can play a significant role in the treatment of massive hepatomegaly.

Original languageEnglish
Pages (from-to)1425-1426
Number of pages2
JournalWorld Journal of Gastroenterology
Volume16
Issue number11
DOIs
Publication statusPublished - Mar 21 2010

Keywords

  • Liver transplantation
  • Massive hepatomegaly
  • Polycystic liver

ASJC Scopus subject areas

  • Gastroenterology

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