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P9.45 Report of the first cases of hepatic SPLIT for liver transplantation in Peru

Jose Rivera Romani, Peru

surgeon
SERVICIO DE TRASPLANTE DE HIAGDO
HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN

Abstract

Report of the first cases of hepatic SPLIT for liver transplantation in Peru

Jose Rivera Romani1,2, Carlos Rondon Leyva1, Martin Padilla Machaca1, Wilmer Bacilio Calderon 1.

1Trasplante, Essalud, Lima, Peru; 2Trasplante, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru

Introduction: Liver SPLIT is the surgical technique used in liver transplantation in which a liver graft from a cadaveric donor can be used for two recipients on the waiting list, these recipients being both adults and one adult and one pediatric. In Peru, a country with a poor donation rate, the implementation of this technique was very beneficial since through it we expand the donation pool and we can help our patients on the waiting list for liver transplantation.

Materials and methods: In the first transplant operation with the SPLIT technique, it was from a 33-year-old donor Cause of death Ischemic stroke, ideal, who underwent complete right and complete left hepatic partitioning for a 48-year-old adult male diagnosed with autoimmune hepatitis and a 13-year-old female patient diagnosed with cystic fibrosis and hepatopulmonary syndrome. In the second transplant operation with the SPLIT technique, it was from a 37-year-old donor, cause of death due to severe ECT, ideal, who underwent complete right and complete left hepatic partitioning for a 52-year-old adult female patient with cirrhosis due to virus C and a 10-year-old male patient diagnosed with allagille syndrome.

Results: 

  • first operative:
    Adult male right liver recipient
    TIF: 417 min; ICT: 45 min. TOTAL: 462 min. Total bleeding 5000 cc
    Girl left liver receptor
    TIF: 660 min; ICT: 55 min. TOTAL: 715 min. Total bleeding 11000 cc
  • second operative:
    Adult female right liver recipient
    TIF:621min; ICT: 49 min. TOTAL: 710 min. Total bleeding 3800 cc
    Recipient boy left liver
    TIF: 744 min; ICT: 65 min. TOTAL: 809 min. Total bleeding 3000 cc

Conclusion: Liver transplantation with the SPLIT technique is an option to expand the pool of donors and is a reality in our country, hoping to make further progress in order to continue helping our patients on the waiting list. The described procedure is effective and must be performed by experienced surgical teams and under high standards of quality and excellence.

Presentations by Jose Rivera Romani

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