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REDUCED SIZE LIVE TRANSPLANTATION

When an organ is available, the liver transplant team recovers the liver as a whole organ. Small infants will require an organ that is reduced in size, a segment of the whole liver.  This procedure is performed by the surgical team just prior to the transplantation.  With reduced size liver transplantation, the weight of the donor can be as much as 10 times that of the recipient. .

The advantage for this procedure is that two recipients in urgent need of a liver graft can be successfully transplanted.  The portion of the liver used for each recipient is determined by the size and shape of the donor organ and the respective weights of the recipients.  Potential complications include a vascular thrombosis or a biliary leak, similar to the complications found in other pediatric transplant procedures.

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