Intraoperative abortion of adult living donor liver transplantation: 15 cases from 1,179 cases in 20 years of experience in a single center
Annals of Surgical Treatment and Research
;
: 213-221, 2018.
Article
in English
| WPRIM
| ID: wpr-717842
ABSTRACT
PURPOSE:
This study aimed to report intraoperative abortion of adult living donor liver transplantation (LDLT).METHODS:
From June 1997 to December 2016, 1,179 adult LDLT cases were performed. 15 cases (1.3%) of intraoperative abortions in LDLT were described.RESULTS:
Among 15 cases, 5 intraoperative abortions were donor-related, and remaining 10 cases were recipient-related. All donor-related abortions were due to unexpected steatohepatitis. Among remaining 10 recipient-related intraoperative abortions, unexpected extension of hepatocellular carcinoma was related in 5 cases. Two cases of intraoperative abortions were related to bowel inflammation, and 2 cases were associated with severe adhesion related to previous treatment. One recipient with severe pulmonary hypertension was also aborted.CONCLUSION:
Complete prevention of aborted LDLT is still not feasible. In this regard, further efforts to minimize intraoperative abortion are required.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Care
/
Liver Transplantation
/
Carcinoma, Hepatocellular
/
Living Donors
/
Fatty Liver
/
Hypertension, Pulmonary
/
Inflammation
/
Liver
Limits:
Adult
/
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2018
Type:
Article
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