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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.
Hong Kong Med J 2002;8:192-5
Key words: Blood transfusion; Carcinoma, hepatocellular;
Liver transplantation
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