Small for size syndrome difficult dilemma: Lessons from 10 years single centre experience in living donor liver transplantation

Table 3 Comparison between patients with and without small for size syndrome (Univariate analysis)

Character	SFSS, n (%) 20 (100) (mean ± SD)	No SFSS, n (%) 154 (100) (mean ± SD)	P value
Child class			< 0.05
A	1 (5)	8 (5.2)
B	7 (35)	46 (29.9)
C	12 (60)	100 (64.9)
MELD score			< 0.05
< 18	16 (80)	98 (63.6)
18-24	4 (20)	46 (29.9)
> 24	0 (0)	10 (6.5)
Pre LT PHTN			0.046
Yes	20 (100%)	128 (83.1%)
No	0 (0)	26 (16.9%)
Steatosis			0.035
Yes	3 (15)	6 (3.9)
No	17 (85)	148 (96.1)
Graft type			0
RL	14 (70)	152 (98.7)
LL	6 (30)	2 (1.3)
SFSG (GRWR < 0.8)			0
Yes	10 (50)	7 (4.5)
No	10 (50)	147 (95.5)
Actual graft weight (g) (mean ± SD)	640.50 ± 211.049	844.39 ± 154.888	0
Actual GRWR (g) (mean ± SD)	0.862 ± 0.2158	1.065 ± 0.1922	0.001
Cold ischemia time (min) (mean ± SD)	73.95 ± 55.350	75.13 ± 50.923	< 0.05
Warm ischemia time (min) (mean ± SD)	50.95 ± 14.248	52.08 ± 16.336	< 0.05
Intraoperative plasma transfusion (units) (mean ± SD)	11.40 ± 7.816	7.81 ± 8.943	0.021
No. of HV anastomoses			< 0.05
1	11 (55)	99 (64.3)
2	8 (40)	45 (29.2)
3	1 (5)	9 (5.8)
4	0 (0)	1 (0.6)
Splenectomy in patients with SFSG (n = 17)			< 0.05
Yes	4 (40)	3 (42.9)
No	6 (60)	4 (57.1)
Drainage of RT anterior and/or posterior sectors (MHV, V5, V8, RIV) in RL graft with or without MHV (n = 166)			< 0.05
Yes	4 (28.6)	52 (34.2)
No	10 (71.4)	100 (65.8)
MHV reconstruction in patients with RL graft (n = 166)			< 0.05
Yes	1 (7.1)	9 (5.9)
No	13 (92.9)	143 (94.1)
Drainage of RT anterior and/or posterior sectors (V5, V8, RIV) in RL graft without MHV(n = 156)			< 0.05
Yes	3 (23.1)	43 (30.1)
No	10 (76.9)	100 (69.9)

MELD: Model for end stage liver disease; Pre LT PHTN: Pre liver transplant portal hypertension; RL: Right lobe; LL: Left lobe; SFSG: Small for size graft; GRWR: Graft recipient weight ratio; MHV: Middle hepatic vein; RIV: Right inferior vein.