Marginal costotomy: A novel surgical technique to rescue from "Large for size Syndrome" in liver transplantation

In the early post-transplant period, severe liver allograft compression can lead to liver necrosis, vascular complications, and even primary nonfunction (1). Although this condition is more common in pediatric recipients, it has been described in adult liver transplant (LT), especially when a large liver allograft is transplanted in a small recipient cavity and for this reason it is known as large for size syndrome (LFS)(2, 3).