Kristina Imeen Ringe, Michael Galanski, Burckhardt Ringe – 25 June 2008

Sung‐Gyu Lee, Shin Hwang, Deok‐Bog Moon, Chul‐Soo Ahn, Ki‐Hun Kim, Kyu‐Bo Sung, Gi‐Young Ko, Kwang‐Min Park, Tae‐Yong Ha, Gi‐Won Song – 25 June 2008 – The currently available indication criteria of living donor liver transplantation (LDLT) for patients with hepatocellular carcinoma (HCC) have high prognostic power but insufficient discriminatory power. On the basis of single‐center results from 221 HCC patients undergoing LDLT, we modified the indication criteria for LDLT to expand recipient selection without increasing the posttransplant recurrence of HCC.

Markus Weber, Pierre‐Alain Clavien – 25 June 2008

Thomas D. Schiano, Rosamond Rhodes – 25 June 2008

Alessandro Giacomoni, Andrea Lauterio, Matteo Donadon, Andrea De Gasperi, Luca Belli, Abdallah Slim, Bogdan Dorobantu, Iacopo Mangoni, Luciano De Carlis – 25 June 2008 – The role of split‐liver transplantation (SLT) for two adult recipients is still a matter of debate, and no agreement exists on indications, surgical techniques, and results. The aim of this study was to retrospectively analyze the outcome of our series of SLT. From May 1999 to December 2006, 16 patients underwent SLT at our unit. We used 9 full right grafts (segments 5‐8) and 7 full left grafts (segments 1‐4).

Edie Y. Chan, Anne M. Larson, Oren K. Fix, Matthew M. Yeh, Adam E. Levy, Ramasamy Bakthavatsalam, Jeffrey B. Halldorson, Jorge D. Reyes, James D. Perkins – 25 June 2008 – The recurrence of hepatocellular carcinoma (HCC) is a major cause of mortality for patients transplanted with HCC. There currently exists no standard method for identifying those patients with a high risk for recurrence. Identification of factors leading to recurrence is necessary to develop an efficient surveillance protocol and address new potential adjuvant therapies.

Robert E. Shangraw, Deirdre Lohan‐Mannion, Agnes Hayes, Rose M. Moriarty, Rongwei Fu, Stephen T. Robinson – 25 June 2008 – Lactic acidosis occurs during orthotopic liver transplantation (OLT), especially during the anhepatic and early postreperfusion phases. Dichloroacetate (DCA) inhibits pyruvate dehydrogenase kinase‐1, indirectly activating mitochondrial pyruvate dehydrogenase. This, in turn, markedly reduces systemic lactate production and, to a lesser extent, increases hepatic lactate uptake. The result is moderation of lactic acidosis in many clinical conditions.

Alessandra Galioto, Andrea Semplicini, Giacomo Zanus, Silvano Fasolato, Antonietta Sticca, Patrizia Boccagni, Anna Chiara Frigo, Umberto Cillo, Angelo Gatta, Paolo Angeli – 25 June 2008 – The aim of this study was to compare nifedipine and carvedilol in the treatment of de novo arterial hypertension after orthotopic liver transplantation (OLT). The study included 50 patients who developed arterial hypertension after OLT. Twenty‐five patients received nifedipine (group A), and 25 received carvedilol (group B).

Shushma Aggarwal, David M. Brooks, Yoogoo Kang, Peter K. Linden, John F. Patzer – 25 June 2008 – Elevated intracranial pressure (ICP) leads to loss of cerebral perfusion, cerebral herniation, and irreversible brain damage in patients with acute liver failure (ALF). Conventional techniques for monitoring ICP can be complicated by hemorrhage and infection. Transcranial doppler ultrasonography (TCD) is a noninvasive device which can continuously measure cerebral blood flow velocity, producing a velocity‐time waveform that indirectly monitors changes in cerebral hemodynamics, including ICP.

Nigel Heaton, Parthi Srinivasan, Andreas Prachalias, Mohamed Rela – 25 June 2008 – A shortage of organs for liver transplantation has encouraged the development of advanced surgical strategies to increase the donor pool. We present a technical strategy that combines the established techniques of split liver transplantation and left lateral segment donation from living donors for adult recipients. This strategy could provide an additional source of organs for liver transplantation. Liver Transpl 14:932–934, 2008. © 2008 AASLD.