Liver transplantation in patients with situs inversus
| Autor: | Allan Rasmussen, Christopher J.E. Watson, R. Y. Calne, Peter J. Friend, P. S. Johnston, Neville V. Jamieson, N. D. Barnes |
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| Rok vydání: | 1995 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_specialty medicine.medical_treatment Anastomosis Liver transplantation Vena caval otorhinolaryngologic diseases Humans Medicine In patient Child Contraindication Biliary drainage business.industry Contraindications Anastomosis Surgical Infant Anastomosis Roux-en-Y Situs Inversus medicine.disease Liver Transplantation Surgery Situs inversus Child Preschool Atresia business |
| Zdroj: | British Journal of Surgery. 82:242-245 |
| ISSN: | 1365-2168 0007-1323 |
| Popis: | Seven patients with situs inversus abdominis and one with situs inversus totalis underwent liver transplantation; all are alive at follow-up of between 7 months and 5 years. Two patients required retransplantation within the first 3 weeks (for primary non-function and thrombotic infarction). Seven had additional abnormalities associated with the polysplenia-biliary atresia syndrome. Liver transplantation in these patients involved selection of relatively small donor organs or use of reduced-size grafts. Delayed abdominal wall closure was necessary in two patients and all required a modification of the ‘piggy-back’ technique of suprahepatic vena caval anastomosis to overcome recipient venous anomalies. Biliary drainage by Roux-en-Y choledochojejunostomy was the preferred technique. Although technically challenging, situs inversus is not a contraindication to liver transplantation and patients should expect full recovery. |
| Databáze: | OpenAIRE |
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