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.