The investigators report a case of the simultaneous use of split liver transplantation (SLT), domino liver transplantation (DLT) and auxiliary liver transplantation (ALT) to achieve "one donor for three recipients".

The investigators report a case of the simultaneous use of split liver transplantation (SLT), domino liver transplantation (DLT) and auxiliary liver transplantation (ALT) to achieve "one donor for three recipients". Three recipients had hepatitis C cirrhosis, argininemia, and hepatocellular carcinoma (HCC), respectively. The investigators performed SLT in the first two recipients (an adult and a child), with the donor liver coming from a female who died of severe head trauma. The right lobe of the child, as the "domino liver graft", was transplanted to the postoperative HCC patient, whose left lateral lobe was preserved after tumor resection. All recipients were discharged from the hospital. During the 12 months of follow-up, all three recipients remained alive.

Inclusion Criteria:

• liver cirrhosis
• argininemia
• hepatocellular carcinoma

Exclusion Criteria:

• Patients who do not require an allogeneic liver transplantation.

Recipient 1 was a 57-year-old female who was admitted due to hepatitis C virus-related liver cirrhosis.

Recipient 2 was a 13-year-old male diagnosed with argininemia, who had a Model for End-Stage Liver Disease score of 12.

Recipient 3, a 70-year-old adult male, was diagnosed with HCC and had no prior history of cirrhosis.

Patient information is personal