Document Detail


Safety of Patients with a Graft to Body Weight Ratio Less than 0.8% in Living Donor Liver Transplantation using Right Hepatic Lobe without Middle Hepatic Vein.
MedLine Citation:
PMID:  21940389     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background/Aims: This study aimed to evaluate the postoperative outcomes of patient with a graft with graft to body weight ratio (GBWR) less than 0.8% after living donor liver transplantation (LDLT) using the right hepatic lobe without middle hepatic vein (MHV). Methodology: The clinical data of patients who underwent LDLTs using the right hepatic lobe without the MHV, between March 2006 and April 2009, were retrospectively analyzed. Patients were divided into two groups according to the GBWR (group A, GBWR <0.8%; group B, GBWR =0.8%). Preoperative characteristics were statistically analyzed. Postoperative complications were classified by the Clavien classification. The Kaplan-Meier survival analysis with logrank test was used to compare the long-term survival of two groups. Results: The two groups were comparable. Similar incidence of serious postoperative surgical complication (grade =3) was observed between the two groups. The 1-, 3- and 4-year survival rates of the two groups were 81%, 64% and 57%, and 83%, 71% and 64%, respectively. No significant differences were observed. Conclusions: Small-for-size graft (GBWR <0.8%) can be safely used in adult-to-adult LDLT using right hepatic lobe without MHV.
Authors:
Chuan Li; Kai Mi; Tian-Fu Wen; Lu-Nan Yan; Bo Li
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-10
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  59     ISSN:  0172-6390     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-9-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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