The division of a donor liver into parts in order to transplant the tissue into a child or small recipient Pros Increases the number of potential recipients Cons Increased billiary complications—27% vs. 4% non-split
Split liver transplantation carries no increased risk of failure in either recipient, allowing transplant surgeons to safely save two lives from a single donated organ, according to new research from Boston Children's Hospital.
But based on this new data, split liver transplantation may prove to be the answer to this difficult problem.
In split liver transplantation, a liver from a deceased donor is surgically separated into two unequal size organs-the smaller portion is used to transplant the child while the larger portion is used to transplant a large child or adult patient.
Responding to the steady increase in US transplant programs practicing split liver transplantation, the United Network for Organ Sharing/Organ Procurement and Transplantation Network Ethics Committee has developed a set of voluntary guidelines for programs to follow.
One of the paramount responsibilities of transplant surgeons is to inform recipients as to the current practices of their transplant program regarding split liver transplantation, the risks involved, the potential for increased morbidity requiring additional interventional/surgical procedures and hospital stay, and the program's outcome data regarding these procedures," the committee writes in the paper "Split Vs.