Left Lateral Sector In Situ Split Liver Transplantation Technique: Step-by-Step Video Demonstration

The split liver technique enables transplanting 2 recipients with one single graft (typically an adult–child pair). It facilitates small recipients’ access to liver transplantation and reduces mortality on the waiting list. However, splitting is technically demanding and may increase peri- and postoperative complications. To be able to obtain comparable outcomes to a full graft liver transplantation, careful donor–recipients selection, experienced surgeons, and logistic planning are paramount. The video shows an in situ split liver procedure from a 32-year-old brain stem death donor to generate a left lateral sector for a child and a right extended graft for an adult recipient.