Adult-to-adult living donor liver transplantation in treating acute liver failure using extended right lobe graft / 中华外科杂志
Chinese Journal of Surgery
;
(12): 309-312, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-342177
ABSTRACT
<p><b>OBJECTIVE</b>To report experience in adult-to-adult living donor liver transplantation for acute liver failure using extended right lobe graft.</p><p><b>METHODS</b>A 42-year-old male with acute liver failure received adult-to-adult living donor liver transplantation using extended right lobe graft. Volumetric analysis with computed tomography (CT) revealed that the volume of donor's extended right liver with medial hepatic vein (MHV) amounted to approximately 1.3% of the recipient's body weight. The donor hepatic vein and recipient inferior vena cava were reconstructed and then anastomosed end to side. The portal veins, hepatic arteries and bile ducts were anastomosed end-to-end, respectively.</p><p><b>RESULTS</b>The operations in donor and recipient were all successful. The donor recovered uneventfully. The recipient regained consciousness in 8 hours and got normal liver function 14 days after transplantation. On day 16 after transplantation, transaminases such as alanine transaminase, aspartate transaminase increased expeditiously in the recipient and was controlled effectively with methylprednisolone (1000 mg). The recipient and donor has survived for 8 months healthily without vascular and bile duct complications.</p><p><b>CONCLUSIONS</b>Adult-to-adult living donor liver transplantation for acute liver failure using extended right lobe graft can achieve superior results when performed by an experienced team in hepatectomy and transplantation. This technique extends the success of living donor liver transplantation and opens a new donor pool for adults to receive a timely graft of adequate function.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Follow-Up Studies
/
Liver Transplantation
/
Treatment Outcome
/
Liver Failure, Acute
/
Living Donors
/
Tissue and Organ Harvesting
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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