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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 124 - 129 (6page)
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Recipient hepatectomy for an enlarged stony-hard liver is a demanding procedure, thus it is often accompanied by massive blood loss. Recipient liver splitting under prolonged hepatic inflow occlusion would facilitate the piggyback recipient hepatectomy. We herein present a case of recipient liver splitting, which was used for living donor liver transplantation (LDLT). A 48-year-old male patient diagnosed with acute-on-chronic liver failure underwent LDLT. During the recipient operation, the native liver was stony-hard and heavily adherent to the retrohepatic inferior vena cava (IVC). During liver mobilization, diffuse oozing occurred due to disseminated intravascular coagulation. As a change in the concept, we decided to perform in situ liver splitting of the recipient liver to facilitate dissection of the retrohepatic IVC. Under hepatic inflow occlusion, right-left liver splitting was performed along the usual plane of extended left hepatectomy. The procedures time for recipient liver splitting and removal was 60 minutes. A modified right liver graft recovered from his daughter was implanted according to the standard procedures of LDLT. We think that recipient liver splitting is a feasible technical option for coping with difficult recipient hepatectomy, especially in patients with an enlarged stony-hard liver and heavy adhesion around the IVC.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Hwang S / 2010 / Liver transplantation and conventional surgery for advanced hepatocellular carcinoma / Transpl Int 23:723~727
Jabir MA / 2017 / Anterior versus conventional approach for resection of large right lobe hepatocellular carcinoma / J Gastrointest Cancer 48:25~30
Jin Uk Choi / 2020 / Prolonged hepatic inflow occlusion to reduce bleeding during recipient hepatectomy in living donor liver transplantation / Korean Journal of Transplantation 34(1):55~61
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 SG / 2019 / An exceptional series: 5000living donor liver transplantations at Asan Medical Center, Seoul, Korea / Transplantation 103:1739~1741
Jabir MA / 2017 / Anterior versus conventional approach for resection of large right lobe hepatocellular carcinoma / J Gastrointest Cancer 48:25~30
Jin Uk Choi / 2020 / Prolonged hepatic inflow occlusion to reduce bleeding during recipient hepatectomy in living donor liver transplantation / Korean Journal of Transplantation 34(1):55~61
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 SG / 2019 / An exceptional series: 5000living donor liver transplantations at Asan Medical Center, Seoul, Korea / Transplantation 103:1739~1741
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