| Autor: |
Inomata Y; Department of Pediatric Surgery and Transplantation, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan., Zeledón ME, Asonuma K, Okajima H, Takeichi T, Ishiko T, Ando Y |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [Am J Transplant] 2007 Jun; Vol. 7 (6), pp. 1629-32. |
| DOI: |
10.1111/j.1600-6143.2007.01828.x |
| Abstrakt: |
Grafts used in Domino liver transplantation (LT) obtained from living donor liver transplantation (LDLT) for familial amyloid polyneuropathy (FAP) patients have been mainly used as reduced grafts. Because of small-for-size problems seen in LDLT, using whole liver grafts could improve post-LT outcome. Eight consecutive Domino LDLT using whole livers without retrohepatic inferior vena cava (IVC) from FAP patients were retrospectively analyzed. The graft weight/recipient's body weight ratio (GWRW) in the domino recipients ranged from 1.28% to 2.4% (mean: 1.52). Multiple vascular reconstructions in the whole-liver domino LT resulted in longer than usual warm ischemia time (mean: 64 min); however immediate post-operative recovery of hepatic function was uneventful. At 8-40 months after the transplant, all the FAP patients are well and all of the domino recipients are alive. Domino LT using a whole FAP liver from a LDLT for a FAP patient presents satisfactory results, even though the transplant procedure is technically complicated. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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