Simplifying living donor liver transplantation.

作者: See Ching Chan , Chung Mau Lo , Sheung Tat Fan

DOI:

关键词:

摘要: BACKGROUND: Living donor liver transplantation is a complex surgical operation. Treatment policies and operative techniques evolved in the last two decades. DATA SOURCES: Our center's experience living was reviewed conjunction with relevant publications literature. RESULTS: The perioperative therapeutics could be modified towards simplicity Examples include regular inclusion of middle hepatic vein without compromising venous outflow donor's remnant left liver. This provides excellent outflow, which crucial for small-for-size graft. Immunosuppression hepatitis B suppression are steroid free immunoglobulin respectively. CONCLUSION: most practical way to achieve high graft recipient survival rates an acceptably low risk through design protocol that simplifies surgery postoperative management.

参考文章(59)
Thomas E. Starzl, Rolf M. Zinkernagel, Transplantation tolerance from a historical perspective Nature Reviews Immunology. ,vol. 1, pp. 233- 239 ,(2001) , 10.1038/35105088
Hermann G, Brittain Rs, Starzl Te, Marchioro Tl, Waddell Wr, Vonkaulla Kn, HOMOTRANSPLANTATION OF THE LIVER IN HUMANS. Surgery gynecology & obstetrics. ,vol. 117, pp. 659- 676 ,(1963)
Keiji Sano, Masatoshi Makuuchi, Kenji Miki, Atsushi Maema, Yasuhiko Sugawara, Hiroshi Imamura, Hidetoshi Matsunami, Tadatoshi Takayama, Evaluation of Hepatic Venous Congestion: Proposed Indication Criteria for Hepatic Vein Reconstruction Annals of Surgery. ,vol. 236, pp. 241- 247 ,(2002) , 10.1097/00000658-200208000-00013
Z. A. Stewart, A. M. Cameron, A. L. Singer, R. A. Montgomery, D. L. Segev, Histidine-Tryptophan-Ketoglutarate (HTK) is associated with reduced graft survival in deceased donor livers, especially those donated after cardiac death. American Journal of Transplantation. ,vol. 9, pp. 286- 293 ,(2009) , 10.1111/J.1600-6143.2008.02478.X
Chi-Leung Liu, Chung-Mau Lo, See-Ching Chan, Sheung-Tat Fan, Safety of duct-to-duct biliary reconstruction in right-lobe live-donor liver transplantation without biliary drainage. Transplantation. ,vol. 77, pp. 726- 732 ,(2004) , 10.1097/01.TP.0000116604.89083.2F
Massimo Malago, Ernesto P Molmenti, Andreas Paul, Silvio Nadalin, Hauke Lang, Arnold Radtke, Chao Liu, Andrea Frilling, Reza Biglarnia, Christoph E Broelsch, None, Hepatic venous outflow reconstruction in right live donor liver transplantation Liver Transplantation. ,vol. 11, pp. 364- 365 ,(2005) , 10.1002/LT.20369
Jian Wu, Weilin Wang, Min Zhang, Yan Shen, Tingbo Liang, Pengfei Yu, Xiao Xu, Sheng Yan, Shusen Zheng, Reconstruction of middle hepatic vein in living donor liver transplantation with modified right lobe graft: a single center experience. Transplant International. ,vol. 21, pp. 843- 849 ,(2008) , 10.1111/J.1432-2277.2008.00690.X
Daniel J. Tenney, Ronald E. Rose, Carl J. Baldick, Kevin A. Pokornowski, Betsy J. Eggers, Jie Fang, Michael J. Wichroski, Dong Xu, Joanna Yang, Richard B. Wilber, Richard J. Colonno, Long-term monitoring shows hepatitis B virus resistance to entecavir in nucleoside-naïve patients is rare through 5 years of therapy. Hepatology. ,vol. 49, pp. 1503- 1514 ,(2009) , 10.1002/HEP.22841
Irene H. Straatsburg, Salomon L. Abrahamse, Shao W. Song, Robin J. Hartman, Thomas M. van Gulik, Evaluation of rat liver apoptotic and necrotic cell death after cold storage using UW, HTK, and Celsior. Transplantation. ,vol. 74, pp. 458- 464 ,(2002) , 10.1097/00007890-200208270-00005
Kwan Man, Liver Transplantation in Rats Using Small-for-Size Grafts Archives of Surgery. ,vol. 136, pp. 280- 285 ,(2001) , 10.1001/ARCHSURG.136.3.280