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
- 발행연도
- 2020.1
- 수록면
- 55 - 61 (7page)
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초록· 키워드
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Background: Living donor liver transplantation (LDLT) causes bleeding in recipients during the careful preservation of most perihilar structures during this surgery. This case-control study aimed to analyze the effect of prolonged hepatic inflow occlusion (PHIO) when applied during recipient hepatectomy in LDLT. Methods: The study group comprised patients who underwent PHIO with Model for End-Stage Liver Disease (MELD) scores ranging from 26 to 35 (n=20). The following two control groups were selected according to their MELD scores: the low-MELD score group (MELD scores of 15–20, n=40) and the high-MELD score group (MELD scores of 26–35, n=40). Total dissection time for hepatic mobilization and dissection and blood loss during these procedures were compared between the two groups. Results: In the PHIO study group, mean total dissection time and mean PHIO duration were 226.3±59.4 and 68.2±19.1 minutes, respectively. Twelve patients underwent PHIO twice, and the other eight patients underwent PHIO once. The low-MELD score control group and the PHIO study group showed similar dissection duration (216.0±43.9 vs. 226.3±59.4 minutes, P=0.82) and similar blood loss volume during dissection (2,112.5±1,614.9 vs. 2,350.0±951.9 mL, P=0.17). The high-MELD score control group and the PHIO study group showed similar dissection duration (241.0±41.9 vs. 226.3±59.4 minutes, P=0.71), but the PHIO group showed a significantly lower blood loss during dissection than the high-MELD score group (2,350.0±951.9 vs. 2,815.0±1,813.9 mL, P=0.002). During and after PHIO, no adverse complication was observed, except for transient splanchnic congestion. Conclusions: Our findings suggest that PHIO is a simple effective method to reduce intraoperative bleeding during hepatic mobilization and dissection during LDLT operation requiring difficult dissection.
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참고문헌 (20)
참고문헌 신청
Hwang S / 2006 / Lessons learned from 1,000 living donor liver transplantations in a single center: how to make living donations safe / Liver Transpl 12:920~927
Hwang S / 2007 / Salvage living donor liver transplantation after prior liver resection for hepatocellular carcinoma / Liver Transpl 13:741~746
Choi JU / 2019 / Prolonged occlusion of the hepatoduodenal ligament to reduce risk of bleeding and tumor spread during recipient hepatectomy for living donor liver transplantation / Ann Hepatobiliary Pancreat Surg 23:61~64
Lee KF / 2018 / Does intermittent pringle maneuver increase postoperative complications after hepatectomy for hepatocellular carcinoma? A randomized controlled trial / World J Surg 42:3302~3311
Yoon JU / 2018 / Bloodless living donor liver transplantation: risk factors, outcomes, and diagnostic predictors / Medicine(Baltimore) 97:e13581
Hwang S / 2007 / Salvage living donor liver transplantation after prior liver resection for hepatocellular carcinoma / Liver Transpl 13:741~746
Choi JU / 2019 / Prolonged occlusion of the hepatoduodenal ligament to reduce risk of bleeding and tumor spread during recipient hepatectomy for living donor liver transplantation / Ann Hepatobiliary Pancreat Surg 23:61~64
Lee KF / 2018 / Does intermittent pringle maneuver increase postoperative complications after hepatectomy for hepatocellular carcinoma? A randomized controlled trial / World J Surg 42:3302~3311
Yoon JU / 2018 / Bloodless living donor liver transplantation: risk factors, outcomes, and diagnostic predictors / Medicine(Baltimore) 97:e13581
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