지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.1
- 발행연도
- 2021.7
- 수록면
- 37 - 48 (12page)
이용수
초록· 키워드
오류제보하기
Purpose: When splitting a liver for adult and pediatric graft recipients, the retained left medial section (S4) will undergo ischemic necrosis and the right trisection graft becomes an extended right liver (ERL) graft. We investigated the fates of the retained S4 and its prognostic impact in adult split liver transplantation (SLT) using an ERL graft.
Methods: This was a retrospective analysis of 25 adult SLT recipients who received split ERL grafts.
Results: The mean model for end-stage liver disease (MELD) score was 27.3 ± 10.9 and graft-recipient weight ratio (GRWR) was 1.98 ± 0.44. The mean donor age was 26.5 ± 7.7 years. The split ERL graft weight was 1,181.5 ± 252.8 g, which resulted in a mean GRWR of 1.98 ± 0.44. Computed tomography of the retained S4 parenchyma revealed small ischemic necrosis in 16 patients (64.0%) and large ischemic necrosis in the remaining 9 patients (36.0%). No S4-associated biliary complications were developed. The mean GRWR was 1.87 ± 0.43 in the 9 patients with large ischemic necrosis and 2.10 ± 0.44 in the 15 cases with small ischemic necrosis (P = 0.283). The retained S4 parenchyma showed gradual atrophy on follow-up imaging studies. The amount of S4 ischemic necrosis was not associated with graft (P = 0.592) or patient (P = 0.243) survival. A MELD score of >30 and pretransplant ventilator support were associated with inferior outcomes.
Conclusion: The amount of S4 ischemic necrosis is not a prognostic factor in adult SLT recipients, probably due to a sufficiently large GRWR.
Methods: This was a retrospective analysis of 25 adult SLT recipients who received split ERL grafts.
Results: The mean model for end-stage liver disease (MELD) score was 27.3 ± 10.9 and graft-recipient weight ratio (GRWR) was 1.98 ± 0.44. The mean donor age was 26.5 ± 7.7 years. The split ERL graft weight was 1,181.5 ± 252.8 g, which resulted in a mean GRWR of 1.98 ± 0.44. Computed tomography of the retained S4 parenchyma revealed small ischemic necrosis in 16 patients (64.0%) and large ischemic necrosis in the remaining 9 patients (36.0%). No S4-associated biliary complications were developed. The mean GRWR was 1.87 ± 0.43 in the 9 patients with large ischemic necrosis and 2.10 ± 0.44 in the 15 cases with small ischemic necrosis (P = 0.283). The retained S4 parenchyma showed gradual atrophy on follow-up imaging studies. The amount of S4 ischemic necrosis was not associated with graft (P = 0.592) or patient (P = 0.243) survival. A MELD score of >30 and pretransplant ventilator support were associated with inferior outcomes.
Conclusion: The amount of S4 ischemic necrosis is not a prognostic factor in adult SLT recipients, probably due to a sufficiently large GRWR.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
Broelsch CE / 1990 / Application of reduced-size liver transplants as split grafts, auxiliary orthotopic grafts, and living related segmental transplants / Ann Surg 212:368~375
Renz JF / 2003 / Split-liver transplantation: a review / Am J Transplant 3:1323~1335
Adam R / 2003 / Evolution of liver transplantation in Europe: report of the European Liver Transplant Registry / Liver Transpl 9:1231~1243
Superina R / 2012 / To split or not to split: that is the question / Liver Transpl 18:389~390
Yoon KC / 2018 / Survival outcomes in split compared with whole liver transplantation / Liver Transpl 24:1411~1424
Renz JF / 2003 / Split-liver transplantation: a review / Am J Transplant 3:1323~1335
Adam R / 2003 / Evolution of liver transplantation in Europe: report of the European Liver Transplant Registry / Liver Transpl 9:1231~1243
Superina R / 2012 / To split or not to split: that is the question / Liver Transpl 18:389~390
Yoon KC / 2018 / Survival outcomes in split compared with whole liver transplantation / Liver Transpl 24:1411~1424
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
The Correlation between Preoperative Volumetry and Actual Graft Weight of Liver according to the Donor Age in Living Donor Liver Transplantation
대한외과학회 학술대회 초록집
2021 .05
-
Lowering GRWR and overcoming small-for-size syndrome in adult living donor liver transplantation
Annals of Hepato-Biliary-Pancreatic Surgery
2022 .12
-
Reuse of liver allograft from a brain-dead recipient: A case report
Annals of Hepato-Biliary-Pancreatic Surgery
2020 .05
-
The left graft may be the “right” graft: A comparative study of using the right versus left graft in adult-to-adult living donor liver transplantation
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Graft Survival according to Donor Type, and Risk Assessment in Liver Transplantation of Extremely High Meld Score ≥ 35
대한외과학회 학술대회 초록집
2022 .11
-
Clinical sequence of an adult recipient undergone split liver transplantation using a right liver graft with erroneous deprivation of the middle hepatic vein trunk: a case report
Clinical Transplantation and Research
2021 .09
-
Liver transplantation from discarded liver grafts: Expanding the donor liver pool in Mexico
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
Biliary Complications after Living Donor Liver Transplantation Differ from Those after Deceased Donor Liver Transplantation
Gut and Liver
2022 .03
-
Anatomical limits in living donor liver transplantation
Clinical Transplantation and Research
2022 .09
-
Reusing hepatic grafts in Korea: a case report
Clinical Transplantation and Research
2021 .09
-
Ventilator support in the pretransplant period predisposes early graft failure after deceased donor liver transplantation
Annals of Surgical Treatment and Research
2023 .09
-
Long-term outcomes of liver transplantation using grafts from donors with active hepatitis B virus replication: a multicenter cohort study
Annals of Surgical Treatment and Research
2023 .04
-
Machine learning improves the accuracy of graft weight prediction in living donor liver transplantation
Annals of Hepato-Biliary-Pancreatic Surgery
2022 .12
-
Pediatric deceased donor liver transplantation with in situ size reduction for recipient-graft size matching
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .08
-
Standardized surgical techniques for adult living donor liver transplantation using a modified right lobe graft : a video presentation from bench to reperfusion
Annals of Hepato-Biliary-Pancreatic Surgery
2016 .08
-
Results of living donor age of sixth decade for adult liver transplantation using a right lobe graft
한국간담췌외과학회 학술대회지
2016 .04
-
Effect of donor against recipient one-way mismatch on graft-versus-host-disease after liver transplantation
Annals of Hepato-Biliary-Pancreatic Surgery
2022 .12
-
Pediatric liver transplantation with hyperreduced left lateral segment graft
Annals of Hepato-Biliary-Pancreatic Surgery
2020 .11
-
Living donor liver retransplantation for primary non-function of liver graft following multivisceral transplantation in a pediatric patient
Annals of Hepato-Biliary-Pancreatic Surgery
2020 .05
-
Biliary Complication after Adult-to-Adult living Donor Liver Transplantation: Does it Impact the long-term Outcomes?
대한외과학회 학술대회 초록집
2023 .05
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2021-514-001843877