The conventional technique in in-situ split-liver transplantation.

Split-liver transplantation are innovative surgical techniques of graft creation that expand the cadaver donor pool and decrease reliance upon living-donation. To date, split-liver transplantation has been principally applied to pediatric recipients with excellent outcomes. Significant decreases in pediatric wait-list times, wait-list morbidity, and lower utilization of living-donation at centers that routinely implement split-liver transplantation have led to renewed interest in expanding these techniques to include two adult recipients from one adult cadaver donor. This article details technical considerations of the conventional in situ split procedure for the creation of a pediatric left lateral segment graft and an adult trisegment graft, and summarizes current outcomes.