Split liver transplantation (SLT) allows for expansion of the deceased donor pool. Objectives: To assess outcomes and the impact of splitting technique (in situ vs ex vivo) in SLT recipients. Design: Single-center retrospective review (Setting: University medical center. Patients: One hundred six SLT recipients. Main Outcome Measures: Postoperative graft and patient survival and postoperative complications. Results: In adults, 1-, 5-, and 10-year overall patient survival was 93%, 77%, and 73%,

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... espectively; overall graft survival was 89%, 76%, and 65%, respectively; ex vivo split patient survival was 93%, 85%, and 74%, respectively; and ex vivo graft survival was 86%, 77%, and 63%, respectively. In situ split patient and graft survival was METHODS The medical records of patients who underwent SLT between September 18, 1993, and July 1, 2010, at the University of California, San Francisco (UCSF), were retrospectively reviewed. This work was approved through the Committee for Human Research at UCSF. Long-term outcomes were assessed via office medical records; in cases in which this was impossible, survival was assessed via the Social Security Death Master File. Clinical medical records, operative notes, and pathologic reports were used to gather data. Addi-