Auxillary ohotopic liver transplant is indicated for
Indication of Auxillary Paial Ohotopic Liver Transplantation (APOLT) Reversible fulminant hepatic failure Small for size grafts Non- Cirrhotic metabolic liver disease ABO incompatibility AOPLT In fulminant hepatic failure, APOLT provides temporary suppo until the native liver recovers and then immunosuppression can be withdrawn APOLT can compensate for enzyme deficiency in non-cirrhotic metabolic liver disease Transplants of ABO incompatible grafts are often unavoidable due to limited number of potential donor candidates. A high incidence of early graft failure with a high rate of biliary and vascular complication in ABO incompatible liver transplantation is repoed. The remnant liver could sustain a patients life if the anticipated graft failure occurred in an ABO incompatible case In small for graft size, the remnant liver is expected to suppo the function of implanted graft during the early post op period. The graft liver expands its function in propoion to volume growth. After the graft liver has grown sufficiently, it can be expected to meet the hepatic functional demands of the reciepient Ref: Blumga 5th edition Pg no : 1689-1693
Metabolic liver disease
As a standby procedure until finding a suitable donor
Drug induced hepatic failure
Acute fulminant liver failure for any cause
G.I.T