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Application of in Vivo Splitting Technique in Adult Liver Transplantation

Application of in Vivo Splitting Technique of Brain-dead Donor Liver in Adult Liver Transplantation

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06925828
Enrollment
500
Registered
2025-04-13
Start date
2021-01-01
Completion date
2025-12-31
Last updated
2025-04-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Liver Transplantation

Keywords

Split liver transplantation, Whole liver transplantation, Short-term Outcomes, Surgical complications, Morbidity and Mortality

Brief summary

The feasibility of split liver transplantation (SLT) remains controversial. This study aimed to evaluate the outcomes of SLT in adult recipients and to identify specific areas of improvements. A retrospective analysis was conducted on adults who underwent full size SLT between January 2021 and December 2023. The short-term outcomes of these patients who underwent SLT were compared with those of patients who underwent whole liver transplantation (WLT) during the same period.

Interventions

OTHERNo intervention

No intervention

Sponsors

Ningbo Medical Center Lihuili Hospital
Lead SponsorOTHER_GOV

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
16 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* For the donor graft: 1. age of 18-60 years; 2. BMI of 19-28 kg/m2; 3. hemodynamic stability or use of a single vasoactive drug with a small dosage (norepinephrine ≤ 0.1 μg/kg/min or dopamine ≤ 5 μg/kg/min); 4. liver steatosis ≤ 10%; 5. liver functional indicators (ALT, AST, total bilirubin quantification) ≤ 3 times the normal value; 6. blood sodium ≤ 160 mmol/L; For the SLT recipients 1. Patients who had registered in the China Organ Transplant Response Systems. 2. Initial liver transplantation. 3. Graft-to-Recipient Weight Ratio (GRWR) ≥ 1%.

Exclusion criteria

* For the donor graft 1. uncontrollable infection 2. significant vascular and biliary variation. For the recipients 1. Severe portal hypertension. 2. Significant vascular variation.

Design outcomes

Primary

MeasureTime frameDescription
Overall survival2021.01.01-2025.12.31the overall survival of liver transplant recipient during study period

Secondary

MeasureTime frameDescription
Postoperative complications2021.01.01-2025.12.31Postoperative complications of liver transplant recipient during study period

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026