Small for size syndrome difficult dilemma: Lessons from 10 years single centre experience in living donor liver transplantation

Table 1 Characteristics of patients and their donors

Character	n (%) 174 (100%) (mean ± SD)
Donor age (yr) (mean ± SD)	27.2 ± 6.7
Recipient age (yr) (mean ± SD)	46.5 ± 8.1
Donor gender
Males	118 (67.8)
Females	56 (32.2)
Recipient gender
Males	154 (88.5)
Females	20 (11.5)
Child class
A	9 (5.2)
B	53 (30.5)
C	112 (64.4)
MELD score
< 18	114 (65.5)
18-24	50 (28.7)
> 24	10 (5.7)
MELD score (mean ± SD)	16.09 ± 4.3
Pre LT PHTN	144 (82.8)
Steatosis	9 (5.2)
Graft type
Right lobe	166 (95.4)
Left lobe	8 (4.6)
MHV with the graft
RL graft	10 (5.7)
LL graft	7 (4.1)
No of HV anastomoses
1	110 (63.2)
2	53 (30.5)
3	10 (5.7)
4	1 (0.6)
Drainage of RT anterior and/or posterior sectors by MHV, V5, V8, and/or RIV in RT lobe grafts (n = 166)	56/166 (33.7)
Actual graft weight (g) (mean ± SD)	820.9 ± 174.2
Actual GRWR	1.04 ± 0.2
SFSG (GRWR < 0.8)	17 (9.8)
Splenectomy in SFSG (n = 17)	7/17 (41.2)
Cold ischemia time (min) (mean ± SD)	74.9 ± 51.2
Warm ischemia time (min) (mean ± SD)	52.9 ± 15.2
Intraoperative blood transfusion (units) (mean ± SD)	7.05 ± 7.4
Intraoperative plasma transfusion (units) (mean ± SD)	8.2 ± 8.9
Operative time (h) (mean ± SD)	13.1 ± 3.2
Hospital stay post LT (d) (mean ± SD)	22.4 ± 15.9

MELD: Model for end stage liver disease; PHTN: Portal hypertension; MHV: Middle hepatic vein; RIV: RT inferior vein; GRWR: Graft recipient weight ratio; SFSG: Small for size graft.