ABSTRACT
Hong Kong Med J 2002;8:192-5 | Number 3, June 2002
MEDICAL PRACTICE
Living donor liver transplantation without the use of blood products
CL Liu, ST Fan, CM Lo, WI Wei, BH Yong, CL Lai, J Wong
Centre for the Study of Liver Disease and Department of Surgery, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong
We report on two patients who presented with unresectable hepatocellular carcinoma complicating hepatitis B liver cirrhosis. After evaluation, both patients were accepted for liver transplantation. Being aware of the scarce availability of cadaveric liver grafts and the long waiting time, family members volunteered to be donors for the two patients. Living donor liver transplantation using right lobe liver grafts, including the middle hepatic vein, was subsequently performed without the use of blood products in both the donors and recipients. All involved recovered uneventfully from their respective operations.
Key words: Blood transfusion; Carcinoma, hepatocellular; Liver transplantation
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