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Living Donor Liver

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https://www.readbyqxmd.com/read/28719965/living-donor-liver-transplantation-for-giant-hepatic-hemangioma-with-diffuse-hemangiomatosis-in-an-adult-a-case-report
#1
Ju Hyun Lee, Chang Jin Yoon, Young Hoon Kim, Ho-Seong Han, Jai Young Cho, Jai Young Cho, Haeryoung Kim, Eun Sun Jang, Jin-Wook Kim, Sook-Hyang Jeong
Hepatic hemangioma represents the most common benign primary hepatic neoplasm. Although most such tumors are small and asymptomatic, giant hepatic hemangioma is frequently symptomatic, and requires intervention. Moreover, diffuse multiple hepatic hemangiomatosis occupying almost the entire liver is extremely rare in adults, and the optimal management for this condition is unclear. We report a case of a rapidly growing, symptomatic giant hepatic hemangioma with diffuse hepatic hemangiomatosis in a 50-year-old female patient who was treated by living-donor liver transplantation...
July 19, 2017: Clinical and Molecular Hepatology
https://www.readbyqxmd.com/read/28719072/living-donor-liver-transplantation-ldlt-in-high-meld-score-patients
#2
Sandy Feng
No abstract text is available yet for this article.
July 18, 2017: Liver Transplantation
https://www.readbyqxmd.com/read/28717867/totally-laparoscopic-living-donor-left-hepatectomy-for-liver-transplantation-in-a-child
#3
Helayel Almodhaiberi, Seok-Hwan Kim, Ki-Hun Kim
BACKGROUND: Minimally invasive surgery has been validated to be a new standard in living donor hepatectomy for adult-to-pediatric transplantation with less morbidity [1]. Laparoscopic donor hepatectomy can reduce the major concerns about pain and morbidity associated with open surgery and a slow return to daily activities of donors [2]. Herein, we present one case of totally laparoscopic living donor left hepatectomy including the middle hepatic vein (MHV). DONOR AND METHOD: A 37-year-old mother volunteered to donate to her 3-year-old son with biliary atresia (PELD score 7)...
July 17, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28708813/application-and-interpretation-of-histocompatibility-data-in-liver-transplantation
#4
Russell N Wesson, Eric W Etchill, Jacqueline Garonzik-Wang
PURPOSE OF REVIEW: There has been a resurgence of interest in histocompatibility as it applies to liver transplantation. The association of persistent and de-novo donor specific antibody (DSA) and outcomes after liver transplantation continues to be investigated. RECENT FINDINGS: Consensus continues to evolve regarding the existence of acute and chronic antibody-mediated rejection (AMR) and pathogenicity of DSA and associated pathologic findings after liver transplantation...
July 13, 2017: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/28706971/a-donor-age-based-and-graft-volume-based-analysis-for-living-donor-liver-transplantation-in-elderly-recipients
#5
Hajime Imamura, Masaaki Hidaka, Akihiko Soyama, Amane Kitasato, Tomohiko Adachi, Shinichiro Ono, Koji Natsuda, Takanobu Hara, Tota Kugiyama, Zhassulan Baimakhanov, Satomi Okada, Fumihiko Fujita, Kengo Kanetaka, Mitsuhisa Takatsuki, Tamotsu Kuroki, Susumu Eguchi
BACKGROUND: Given the expected increase in the number of elderly recipients, details regarding how clinical factors influence the outcome in living donor liver transplantation (LDLT) for the elderly remain unclear. We examined the survival outcomes according to the results of donor age-based and graft volume-based analyses and assessed the impact of prognostic factors on the survival after LDLT for elderly recipients. METHODS: The 198 adult recipients were classified into 2 groups: an elderly group (n = 70, E group; ≥ 60 years of age) and a younger group (n = 128, Y group; <60 years of age)...
July 2017: Transplantation Direct
https://www.readbyqxmd.com/read/28697720/early-onset-pneumonia-after-liver-transplant-microbial-causes-risk-factors-and-outcomes-mansoura-university-egypt-experience
#6
Mohammad Khairy El-Badrawy, Raed El-Metwaly Ali, Amr Yassen, Mohammad Ahmad AbouElela, Rehab Ahmad Elmorsey
OBJECTIVES: Pneumonia has a negative effect on the outcome of liver transplant. Our aim was to analyze early-onset pneumonia that developed within the first month after transplant. MATERIALS AND METHODS: This prospective single-center study included 56 adult living-donor liver transplant recipients; those who developed early-onset pneumonia based on clinical and radiologic criteria were investigated as to causative pathogens and then followed up and compared with other recipients without pneumonia to illustrate risk factors, outcomes, and related mortality of posttransplant pneumonia...
July 11, 2017: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/28695615/sociodemographic-determinants-of-waitlist-and-post-transplant-survival-among-end-stage-liver-disease-patients
#7
Katherine Ross, Rachel E Patzer, David S Goldberg, Raymond J Lynch
While regional organ availability dominates discussions of distribution policy, community-level disparities remain poorly understood. We studied micro-geographic determinants of survival risk and their distribution across Donor Service Areas (DSAs). Scientific Registry of Transplant Recipients records for all adults waitlisted for liver transplantation 2002-2014 were reviewed. The primary exposure variables were county-level sociodemographic risk, as measured by the Community Health Score, a previously-validated composite index local health conditions, and distance to listing transplant center...
July 11, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/28694667/outcomes-of-right-lobe-and-left-lobe-living-donor-liver-transplantations-using-small-for-size-grafts
#8
Wong Hoi She, Kenneth Sh Chok, James Yy Fung, Albert Cy Chan, Chung Mau Lo
AIM: To analyze the outcomes of living-donor liver transplantation (LDLT) using left-lobe (LL) or right-lobe (RL) small-for-size (SFS) grafts. METHODS: Prospectively collected data of adult patients who underwent LDLT at our hospital in the period from January 2003 to December 2013 were reviewed. The patients were divided into the RL-LDLT group and the LL-LDLT group. The two groups were compared in terms of short- and long-term outcomes, including incidence of postoperative complication, graft function, graft survival, and patient survival...
June 21, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28694002/failure-to-rescue-in-living-donor-liver-transplantation-patterns-and-predictors
#9
Abu Bakar Hafeez Bhatti, Faisal Saud Dar, Ammal Imran Qureshi, Nusrat Yar Khan, Haseeb Haider Zia, Eitzaz Ud Din Khan, Nasir Ayub Khan, Mohammad Salih, Najmul Hassan Shah
BACKGROUND: As a quality assessment tool, failure to rescue (FTR) has been employed in various surgical specialties. However, its role in liver transplantation has only recently been explored. To the best of our knowledge, role of FTR in living donor liver transplant (LDLT) has not been assessed previously. The objective of the current study was to determine failure to rescue (FTR) rate and it's predictors in an LDLT center. MATERIALS AND METHODS: We reviewed a prospectively maintained database of patients who underwent LDLT at our center between 2012 and 2016...
July 8, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28691231/active-immunization-for-prevention-of-de-novo-hbv-infection-after-adult-living-donor-liver-transplantation-with-hbc-graft
#10
Shih-Ho Wang, Poh-Yen Loh, Ting-Lung Lin, Li-Man Lin, Wei-Feng Lee, Yu-Hung Lin, Chih-Che Lin, Chao-Long Chen
Background De novo hepatitis B infection (DNHB) may occur in recipients who do not receive prophylaxis after liver transplantation (LT) with anti-HBc(+) donor grafts. Active immunization has been shown to prevent DNHB in pediatric recipients. Our aim is to investigate the efficacy of HBV vaccination for preventing DNHB in adult living donor LT (LDLT). Patients and Methods 71 adult HBsAg(-) LDLT patients who received anti-HBc(+) grafts from 2000 to 2010 were enrolled into this study. Patients were given HBV vaccinations with the aim of achieving anti-HBs >1000 IU/L pre-transplant and >100 IU/L post-transplant...
July 10, 2017: Liver Transplantation
https://www.readbyqxmd.com/read/28690036/hev-and-transfusion-recipient-risk
#11
J Izopet, S Lhomme, S Chapuy-Regaud, J-M Mansuy, N Kamar, F Abravanel
HEV infections are mainly food- and water-borne but transfusion-transmission has occurred in both developing and developed countries. The infection is usually asymptomatic but it can lead to fulminant hepatitis in patients with underlying liver disease and pregnant women living in developing countries. It also causes chronic hepatitis E, with progressive fibrosis and cirrhosis, in approximately 60% of immunocompromised patients infected with HEV genotype 3. The risk of a transfusion-transmitted HEV infection is linked to the frequency of viremia in blood donors, the donor virus load and the volume of plasma in the final transfused blood component...
July 6, 2017: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
https://www.readbyqxmd.com/read/28686307/characteristics-of-liver-transplant-candidates-delisted-following-recompensation-and-predictors-of-such-delisting-in-alcohol-related-liver-disease-a-case-control-study
#12
Authors Aloysious D Aravinthan, Andrew S Barbas, Adam C Doyle, Mahmood Tazari, Gonzalo Sapisochin, Mark S Cattral, Anand Ghanekar, Ian D McGilvray, Markus Selzner, Paul D Greig, Mamatha Bhat, Nazia Selzner, David R Grant, Leslie B Lilly, Eberhard L Renner
Whether and when recovery beyond the need for transplant may occur in patients listed for decompensation remains unclear. This study aimed to investigate the characteristics of patients delisted following recompensation. Seventy-seven patients who were listed between 2005 and 2015 for decompensation, but later delisted following recompensation were included. Alcohol-related liver disease (ALD) was the underlying etiology in the majority (n=47, 61%). Listing characteristics of these patients were compared with those of decompensated ALD patients who either underwent deceased donor liver transplantation or died on the waiting list...
July 7, 2017: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/28683053/assessing-the-safety-of-expanded-polytetrafluoroethylene-synthetic-grafts-in-living-donor-liver-transplantation-graft-migration-into-hollow-viscous-organs-diagnosis-and-treatment-options
#13
Shih-Chao Hsu, Ashok Thorat, Horng-Ren Yang, Kin-Shing Poon, Ping-Chun Li, Chun-Chieh Yeh, Te-Hung Chen, Long-Bin Jeng
BACKGROUND Our recent studies have highlighted the importance and safety of backtable venoplasty for middle hepatic vein (MHV) and inferior right hepatic veins (IRHV) reconstruction using expanded polytetrafluoroethylene (ePTFE) vascular grafts. In this study, we aim to analyze the complications associated with ePTFE graft use and discuss the management of the rare, but, potentially life threatening complications directly related to ePTFE conduits. MATERIAL AND METHODS From January 2012 to October 2015 a total of 397 patients underwent living donor liver transplantation (LDLT)...
July 6, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28681533/maximizing-utilization-of-the-donor-pool-by-appropriate-classification-of-hepatitis-c-antibody-positive-donors
#14
EDITORIAL
J A Anesi, D S Goldberg
The most significant issue facing solid organ transplantation (SOT) is the limited supply of donor organs. Expansion of the donor pool is needed to save more lives through SOT. Deceased donors with positive hepatitis C (HCV) serologic testing have been used inconsistently in the past due to concern for worse recipient outcomes and an inability to easily treat HCV in non-liver recipients (1). This article is protected by copyright. All rights reserved.
July 5, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/28681460/measurement-of-liver-volumes-by-portal-vein-flow-by-doppler-ultrasound-in-living-donor-liver-transplantation
#15
Sang Hyun Choi, Jae Hyun Kwon, Kyoung Won Kim, Hye Young Jang, Ji Hye Kim, Heon-Ju Kwon, Jeongjin Lee, Gi-Won Song, Sung-Gyu Lee
BACKGROUND: The accurate estimation of liver volume and right/left ratio in donor candidates is critical, but there is no method using portal vein (PV) flow. METHODS: Of 125 donor candidates, right/left liver volume ratio was estimated using ultrasound (US)-PV area ratio and Doppler US-PV flow ratio, and the results were compared with CT volumetry. We analyzed these results in 76 donors who underwent hemihepatectomy. We evaluated diagnostic values of Doppler US-PV flow for <30% remnant liver volume high-risk donors, and compared liver volume by Doppler US-PV flow with actual graft weight...
July 5, 2017: Clinical Transplantation
https://www.readbyqxmd.com/read/28678384/prognostic-impact-and-risk-factors-of-low-body-mass-index-in-patients-undergoing-liver-transplantation
#16
Jin-Chiao Lee, Wael Mohialddin Ahmed Doush, Yu-Chao Wang, Chih-Hsien Cheng, Tsung-Han Wu, Yi-Chan Chen, Ruey-Shyang Soong, Ting-Jung Wu, Hong-Shiue Chou, Kun-Ming Chan, Wei-Chen Lee, Chen-Fang Lee
We aimed to investigate the effect of body mass index (BMI) on the overall survival rates and to identify the risk factors associated with adverse outcomes. A total of 381 adult-to-adult living donor liver transplantations performed were retrospectively analyzed. These patients were classified according to the BMI categories established by the World Health Organization: the underweight group (BMI < 18.5 kg/m(2) ) and the non-underweight group (BMI ≥18.5 kg/m(2) ). The underweight group had significantly worse outcomes, compared with that of the non-underweight group (5-years overall survival: 45...
July 5, 2017: Clinical Transplantation
https://www.readbyqxmd.com/read/28675362/liver-resections-in-a-high-volume-center-form-standard-procedures-to-extreme-surgery-and-ultrasound-guided-resections
#17
Florin Botea, Mihnea Ionescu, Vladislav Braşoveanu, Doina Hrehoreţ, Sorin Alexandrescu, Mihai Grigorie, Oana Stanciulea, Diana Nicolaescu, Dana Tomescu, Gabriela Droc, Daniela Ungureanu, Ruxandra Fota, Adina Croitoru, Liana Gheorghe, Cristian Gheorghe, Ioana Lupescu, Mugur Grasu, Mirela Boroş, Radu Dumitru, Mihai Toma, Vlad Herlea, Irinel Popescu
Background: Liver resection (LR) is the treatment of choice for most benign and malignant focal liver lesions, as well as in selected patients with liver trauma. Few other therapies can compete with LR in selected cases, such as liver transplantation in hepatocellular carcinoma (HCC) and ablative therapies in small HCCs or liver metastases. The present paper analyses a single center experience in LR, reviewing the indications of LR, the operative techniques and their short-term results. MATERIAL AND METHOD: Between January 2000 and December 2016, in "œDan Setlacec" Center of General Surgery and Liver Transplantation were performed 3165 LRs in 3016 patients, for pathologic conditions of the liver...
May 2017: Chirurgia
https://www.readbyqxmd.com/read/28675361/a-lesser-known-hepatic-anatomical-and-surgical-structure-the-rouviere-gans-incisura-rgi
#18
Ionel Cîmpeanu, Nicoleta Băjenaru, Ana Puşcaşu
Rouviere-Gans incisura (RGI) is a relatively frequent hepatic anatomosurgical structure (it appears in 52%-80% of cases), but it is not wellknown in hepatic surgery. The presence of RGI is an important landmark to avoid biliary lesions during laparoscopic cholecystectomy, since it allows the isolation of the right posterior glissonean pedicle in 70% of cases, therefore simplifying the resection of the posterior right hepatic section or its segments (Sg6 and Sg7). While performing a right posterior hepatic resection for living-donor liver transplantation, the presence of the RGI facilitates the dissection of the vasculo-biliary structures in the right posterior glissonean pedicle...
May 2017: Chirurgia
https://www.readbyqxmd.com/read/28675360/four-years-of-hepatic-transplantation-in-the-republic-of-moldova
#19
Vladimir Hotineanu, Adrian Hotineanu, Serghei Burgoci, Grigore Ivancov, Natalia Taran, Angela Peltec, Dumitru Cazacu, Vitalie Sîrghi
Ever since the first liver transplant in the Republic of Moldova in 2013 we have performed 30 liver transplantations, the first having been performed in collaboration with the surgical team from Romania, led by Professor Irinel Popescu. The serious deficit of available cadaveric organs has forced us to begin with right hemi-liver transplantation from a living donor. In one third of liver transplantations we used right hemi-liver graft from a living donor, and in 2/3 of cases whole liver graft was harvested from brain-dead donors...
May 2017: Chirurgia
https://www.readbyqxmd.com/read/28675358/living-donor-liver-transplantation
#20
Birkan Bozkurt, Murat Dayangac, Yaman Tokat
In 50 years after the first liver transplantation, the medical world has witnessed the liver transplantation to become one of the widely recognized and leading branches of surgery. In this period, liver transplantation combined with surgical technique, patient selection, advancements in anesthesia and postoperative care and increased experience has become the most effective treatment option in treatment of several acute and chronic liver diseases. Yet, the worldwide organ restriction and associated high mortality rates in organ transplantation waiting list has compelled referring to living donors in order to expand the donor pool...
May 2017: Chirurgia
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