The impact of renal replacement therapy before or after living donor liver transplantation

摘要: Ikegami T, Shirabe K, Soejima Y, Taketomi A, Yoshizumi Uchiyama H, Harada N, Maehara Y. The impact of renal replacement therapy before or after living donor liver transplantation. Clin Transplant 2012: 26: 143–148. © 2011 John Wiley & Sons A/S. Abstract:  Introduction:  (RRT) in transplantation (LDLT) has not yet been investigated. Methods:  Among 253 LDLT patients, RRT was started (RRT-Pre, n = 9), (RRT-Post, n = 27) LDLT. clinical outcomes were reviewed. Results:  one-yr graft survival rate 94.1% without RRT, and 63.9% those with (p < 0.0001). the RRT-Pre patients exhibited acute failure, hepatorenal syndrome high model for end-stage disease score (35 ± 12), whereas RRT-Post had sepsis as a comorbidity. 100.0% vs. 51.9% (p < 0.01). duration significantly shorter than that (5.3 ± 2.1 17.8 ± 14.1 d, p = 0.02). mean between starting 2.1 ± 0.7 d Pre-RRT patients. Conclusion:  excellent because severe condition primarily treated by short-term pre-transplant RRT. Post-transplant uncontrollable major cause loss who receive