Non-composite combined liver and intestinal allotransplantation / 中华外科杂志
Chinese Journal of Surgery
;
(12): 45-47, 2004.
Article
in Chinese
| WPRIM
| ID: wpr-311155
ABSTRACT
<p><b>OBJECTIVE</b>To report the first case of non-composite combined liver and intestinal allotransplantation in China. The technical aspects of the case and pros and cons of such an approach versus composite technique were discussed.</p><p><b>METHODS</b>The patient suffered from short bowel syndrome and TPN-related liver damage. A non-composite technique was used in this case. During operation, the whole 380 cm intestine was transplanted with systemic drainage and aortic inflow, while the liver graft was placed in a piggyback fashion. Warm ischemic time of donor graft was 2 min and 30 seconds, and cold ischemic duration for intestinal and liver graft was 6 hours and 40 and 8 hours and 7 utes respectively. Postoperative immunosuppression management includes tacrolimus, methylprednisolone, MMF and Zenapax.</p><p><b>RESULTS</b>The recipient recovered smoothly with no evidence of rejection on days' follow up. Now he is maintained well on enteral nutrition.</p><p><b>CONCLUSION</b>Non-composite technique should be considered in adult recipients, especially those with a history of abdominal infections or multiple laparotomies.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Short Bowel Syndrome
/
Therapeutics
/
Transplantation
/
Transplantation, Homologous
/
Liver Transplantation
/
Treatment Outcome
/
Intestines
/
Methods
Limits:
Adult
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2004
Type:
Article
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