RT Book, Section A1 Malagó, Massimo A1 Goransky, Jeremias A2 Molmenti, Ernesto Pompeo A2 Santibañes, Martin de A2 Santibañes, Eduardo de SR Print(0) ID 1180113172 T1 Left Lobe Living-Donor Liver Transplantation T2 Liver Transplantation: Operative Techniques and Medical Management YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260462517 LK accesssurgery.mhmedical.com/content.aspx?aid=1180113172 RD 2024/10/09 AB Living-donor liver transplantation (LDLT) using a left lobe (LL) graft was first successfully performed in adults in 1993.1 Adult-to-adult LDLT and the use of LL grafts (S2-3-4 ± 1) was associated with a high incidence of small-for-size syndrome (SFSS). This led to the development of new strategies, such as increasing the size of the LL by adding the caudate lobe and the middle hepatic vein (MHV), the application of graft inflow modulation (GIM) techniques to reduce the portal venous flow and pressure in the small graft, the use of right lobe grafts instead of left, and using a dual graft from 2 donors.