Pediatric living donor liver transplantation from adult allograft liver after resection of focal nodular hyperplasia: a case series study

Nattapat Khemworapong; Nuttapon Arponsujaritkun; Chollasak Thirapattaraphan; Ampaipan Boonthai; Bundit Sakulchairungrueng; Goragoch Gesprasert; Suthus Sriphojanart; Surasak Leelaudomlipi; Pattana Sornmayura

doi:10.4285/ATW2023.F-6001

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Korean J Transplant 2023; 37(Suppl 1): S32-S32

Published online November 15, 2023

https://doi.org/10.4285/ATW2023.F-6001

Pediatric living donor liver transplantation from adult allograft liver after resection of focal nodular hyperplasia: a case series study

Nattapat Khemworapong¹, Nuttapon Arponsujaritkun¹, Chollasak Thirapattaraphan², Ampaipan Boonthai², Bundit Sakulchairungrueng¹, Goragoch Gesprasert¹, Suthus Sriphojanart¹, Surasak Leelaudomlipi¹, Pattana Sornmayura³

¹Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
²Department of Pediatric Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
³Department of Pathology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Correspondence to: Nattapat Khemworapong
E-mail: ntp.oui@gmail.com

Abstract

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Abstract

A case series of three living donor liver transplantations. Every donor is found to have a single liver mass suspected of focal nodular hyperplasia (FNH) size 1.4–2.3 cm. Estimated left lateral liver volume is 176.5–336.5 cm³. Estimated graft-recipient weight ratio (GRWR) is 1.4%–3.7%. We operated wedge resection mass and then sent for frozen section. The frozen section was reported FNH with free margin. We performed left lateral segmentectomy after intraoperative pathologic examination report. Actual graft weight is 168–371 g and actual GRWR is 1.6%–3.5%. The donor was discharged without any complications.