| Standardization of modified right lobe grafts to minimize vascular outflow complications for adult living donor liver transplantation. | |
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MedLine Citation:
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PMID: 22410043 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article |
Journal Detail:
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Title: Transplantation proceedings Volume: 44 ISSN: 1873-2623 ISO Abbreviation: Transplant. Proc. Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-03-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0243532 Medline TA: Transplant Proc Country: United States |
Other Details:
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Languages: eng Pagination: 457-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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