| Donor/recipient algorithm for management of the middle hepatic vein in right graft live donor liver transplantation. | |
| | |
MedLine Citation:
|
PMID: 20074699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The aim of this study was to delineate an algorithm for donor and recipient criteria and middle hepatic vein (MHV) management in right-graft live-donor liver transplantation (LDLT) on the basis of computerized 3-dimensional computed tomographic image analysis. METHODS: Data on 94 consecutive right-graft LDLTs were prospectively collected. Graft and remnant data for the first 23 cases were retrospectively evaluated by means of 3-dimensional computed tomographic reconstructions, and on the basis of that preliminary series, a graft selection algorithm using 3 parameters-hepatic vein dominance classification, graft and remnant graft volume/body weight ratios, and congestion volumes-was created. It was subsequently applied to the next 71 right-graft LDLTs. RESULTS: Fifty-nine right grafts contained the MHV. Four of the 12 grafts with no MHVs required MHV reconstructions. In 18 cases, small liver grafts were used. The postoperative function of liver grafts and remnants with versus without MHVs was not statistically different. CONCLUSIONS: The proposed algorithm favored the inclusion of the MHV with the right grafts. It also allowed for the procurement of grafts that were potentially small for size without compromising donor or recipient safety. |
| | |
Authors:
|
A Radtke; G Sgourakis; G C Sotiropoulos; S Beckebaum; E P Molmenti; F H Saner; T Schroeder; S Nadalin; A Schenk; H Lang; M Malag?; C E Broelsch |
Related Documents
:
|
8508579 - Scintigraphic evaluation of reduced-size liver transplant from living related donor in ... 16845919 - Seizure attack during partial hepatectomy in a living donor for liver transplantation u... 22419339 - Calcineurin inhibitor minimisation versus continuation of calcineurin inhibitor treatme... 15561209 - Hepatic vein anastomotic stricture after living donor liver transplantation. 12134099 - Modified right liver graft from a living donor to prevent congestion. 17153429 - Parenchyma transection in adult live donor liver transplantation: the virtual dilemma o... 18626169 - Recurrence of primary hyperoxaluria: an avoidable catastrophe following kidney transplant. 18097609 - Differences in proportion and dynamics of recipient hematopoiesis following hematopoiet... 345549 - Prediction of long-term kidney transplant survival rates by monitoring early graft func... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-01-15 |
Journal Detail:
|
Title: American journal of surgery Volume: 199 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-05-14 Completed Date: 2010-06-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 708-15 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright 2010. Published by Elsevier Inc. |
Affiliation:
|
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany. radtke@ach.klinik.uni-mainz.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Algorithms* Analysis of Variance Cohort Studies Female Follow-Up Studies Graft Rejection Graft Survival Hepatectomy / adverse effects, methods Hepatic Veins / surgery, transplantation* Humans Imaging, Three-Dimensional Liver / anatomy & histology, blood supply*, radiography, surgery Liver Circulation Liver Transplantation / adverse effects, methods* Living Donors* Male Patient Selection Postoperative Complications / epidemiology, physiopathology Preoperative Care / methods Prospective Studies Risk Assessment Tissue and Organ Procurement Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A prospective randomized controlled trial of internal versus external drainage with pancreaticojejun...
Next Document: Conservative treatment of vascular prosthetic graft infection is associated with high mortality.