Partial left lateral segment transplant from a living donor

A shortage of liver donors for low-weight transplant recipients has prompte d the development of procedures for liver-reduction, split-liver, and livin g related donor transplantations. For pediatric recipients weighing less th an 10 kg, the left lateral segment is often still too large. We describe th e procedure of monosegmental transplantation using segment II after segment III was resected in situ from a Living related donor. Successful monosegme ntal transplantation is technically feasible and is a valid alternative to be considered for cases of size discrepancy between the recipient's volume and the donor's left lateral segment. Copyright (C) 2000 by the American As sociation for the Study of Liver Diseases.