CONCOMITANT CAUDATE LOBE RESECTION AS AN OPTION FOR DONOR HEPATECTOMYIN ADULT LIVING-RELATED LIVER-TRANSPLANTATION

In this article, we describe a successful adult living related partial liver transplantation (LRLT) using the left lobe with the left-side c audate lobe (the Spiegel lobe and the left side of the paracaval porti on). The size of the donor's left lobe was 29% of the recipient's stan dard liver volume and did not seem to meet our criteria for adult-to-a dult LRLT. However, the donor had a thick left-side caudate lobe. The estimated volume of the left lobe with the left-side caudate lobe was 32%, which met our criteria for the adult recipient. The recipient's C T scan on day 87 after transplantation showed the preserved blood flow and no biliary congestion in the left-side caudate lobe, which sugges ts maintenance of lobe function. This procedure may be an option for a dult-to-adult LRLT in which the donor has a thick left-side caudate lo be.