Document Detail

Standardization of modified right lobe grafts to minimize vascular outflow complications for adult living donor liver transplantation.
MedLine Citation:
PMID:  22410043     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: After > 2000 adult living donor liver transplants (LDLTs), we observed minimization of the complication rate using case-by-case modification of venous outflow reconstruction in right liver graft (RLG), standardization seeking intend to provide a hemodynamic- based, regeneration-compliant hepatic outflow reconstruction.
METHODS: We retrospectively examined 100 consecutive adult LDLT using modified RLG before and after application of RLG standardization to compare the 6-month incidences of vascular outflow complications.
RESULT: The right hepatic vein stenting rate for first 6 months was 5% in the customized group and 1% in the standardized group (P = .212). The middle hepatic vein stenting rate for first 6 months was 9% in the customized group and 4% in the standardized group (P = .373). The inferior right hepatic vein stenting rate for first 6 months was 12.8% in the customized group and 7.1% in the standardized group (P = .472). The overall 6-month patient survival rate was 94% in the customized group and 95% in the standardized group (P = .867). The overall incidence of significant RLG venous outflow complications was 19% in the customized group and 8% in the standardized group (P = .023).
CONCLUSION: Standardization as a universal graft model seemed to be more effective and feasible than conventional graft customization requiring individualized case-by-case modification.
S Hwang; C S Ahn; K H Kim; D B Moon; T Y Ha; G W Song; D H Jung; G C Park; J M Namgoong; S Y Yoon; S W Jung; S G Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  44     ISSN:  1873-2623     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-03-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  457-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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