Table 1.
Patient data
| Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
|---|---|---|---|---|
| Gender / age | Male / 56 years | Male / 67 years | Male / 50 years | Male / 62 years |
| Date of hepatectomy | May 2003 | Jan 2011 | Jun 2011 | Sep 2011 |
| LDLT after hepatectomy | Postoperative day 7 | Postoperative day 6 | Postoperative day 5 | Postoperative day 10 |
| Tumor size | 3 cm | 6 cm × 10 cm | 2 cm | 3 cm |
| Tumor number | Single | Single | Single | Single |
| Tumor cell differentiation | Well | Moderate | Moderate | Moderate |
| Macrovascular invasion | No | No | No | No |
| Microvascular invasion | No | No | No | No |
| Liver segments involved | 5, 6, 7, 8 | 1, 5, 6, 7, 8 | 5, 8 | 5, 6, 7, 8 |
| Operative findings at LR | Macronodular cirrhosis | Moderate cirrhosis | Mild cirrhosis | Mild cirrhosis |
| Type of hepatectomy | Right liver | Right and caudate hepatectomy | Right hepatectomy | Right anterior sectionectomy including the middle hepatic vein |
| Pringle maneuver | No | No | No | 20 min × 8 with 5-min breaks |
| Blood loss | 4,500 ml | 900 ml | ? | 5,000 ml |
| Duration of operation | 7 h | 9 h 1 min | ? | 15 h 47 min |
| Postoperative course | Hepatorenal syndrome | Hepatorenal syndrome | Hepatorenal syndrome | Hepatorenal syndrome |
| HCC in remnant liver | No | No | No | No |
| Pre-LT microbiological culture | Negative | Negative | Endotracheal aspirate: scant Acinetobacter baumannii | Endotracheal aspirate: scant Citrobacter species |
| Donor's relation to recipient | Son | Wife | Son | Sister-in-law |
| Graft | Right liver with the middle hepatic vein | Right liver with the middle hepatic vein, temporary portal to left hepatic vein in situ bypass | Right liver with the middle hepatic vein | Right liver with the middle hepatic vein |
| Operative findings at LT | 3 l of ascites, main portal vein thrombosed with organized clot | Moderate amount of ascites, remnant liver cirrhotic and congested | Small amount of ascites, macronodular cirrhosis, mild splenomegaly, fresh thrombus in main and left portal veins | 300 ml of ascites, infarcted remnant left liver, fresh thrombus in main and left portal veins |
| Discharge from hospital after LT | 21 days | 38 days | 22 days | 14 days |
| Duration of follow-up | 9 years | 1 year 4 months | 10 months | 6 months |
| Current status | Alive, no HCC recurrence | Alive, no HCC recurrence | Alive, no HCC recurrence | Alive, no HCC recurrence |