| Autor: |
Ahmed Abdallah, Ahmed Abdallah Salman, Amany Abdelmaqsod Sholkamy, Mohamed Abdalla Salman, Mahmoud Gouda Omar, Ahmed Youssef, Mahmoud A. Ameen, Ahmad Yahia Abdel Dayem, Hossam El-Din Shaaban, Ossama Ramzy Youssef, Nesrin Abd Allah, Walid Rafat Abdelaty |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Asian Journal of Surgery, Vol 44, Iss 2, Pp 452-458 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
1015-9584 |
| DOI: |
10.1016/j.asjsur.2020.10.016 |
| Popis: |
Abstarct: Aim: Recently, increasing evidence showed that small-for-size syndrome (SFSS) is a multifactorial disease which is precipitated by various perioperative factors other than graft size. We conducted the current work to evaluate perioperative effectors, which can increase the risk of SFSS following adult living-donor liver transplantation (LDLT). Methods: This is a retrospective study on 110 adult cirrhotic cases (mean age of 48.4 ± 6.9 years old) who underwent adult LDLT. Most cases were males (89%). Cases were categorized into two groups based on the occurrence of SFSS. The groups were compared regarding preoperative (gender, age, comorbidities, baseline investigations), intraoperative (mean blood pressure and glucose; mean operation time; number of packed red cells, plasma, platelets, and cryoprecipitate units; time of cold and warm ischemia, and anhepatic phase; preclamping and post-reperfusion portal pressures), and postoperative factors (relevant investigations, hospital stay). Results: Postoperatively, 23 patients developed SFSS (20.9%). SFSS group had significantly lower preoperative graft recipient weight ratio (GRWR) (0.76 ± 0.1% versus 1.03 ± 0.15, respectively; p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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