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Brunner, Stefan M. ; Brennfleck, Frank W. ; Junger, Henrik ; Grosse, Jirka ; Knoppke, Birgit ; Geissler, Edward K. ; Melter, Michael ; Schlitt, Hans J.

Successful auxiliary two-staged partial resection liver transplantation (ASPIRE-LTx) for end-stage liver disease to avoid small-for-size situations

Brunner, Stefan M. , Brennfleck, Frank W., Junger, Henrik, Grosse, Jirka, Knoppke, Birgit, Geissler, Edward K., Melter, Michael und Schlitt, Hans J. (2021) Successful auxiliary two-staged partial resection liver transplantation (ASPIRE-LTx) for end-stage liver disease to avoid small-for-size situations. BMC Surgery 2021 (21), S. 166.

Veröffentlichungsdatum dieses Volltextes: 15 Jul 2021 18:02
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.46388


Zusammenfassung

Background Risks for living-liver donors are lower in case of a left liver donation, however, due to lower graft volume, the risk for small-for-size situations in the recipients increases. This study aims to prevent small-for-size situations in recipients using an auxiliary two-staged partial resection liver transplantation (LTX) of living-donated left liver lobes. Case presentation Two patients ...

Background Risks for living-liver donors are lower in case of a left liver donation, however, due to lower graft volume, the risk for small-for-size situations in the recipients increases. This study aims to prevent small-for-size situations in recipients using an auxiliary two-staged partial resection liver transplantation (LTX) of living-donated left liver lobes. Case presentation Two patients received a two-stage auxiliary LTX using living-donated left liver lobes after left lateral liver resection. The native extended right liver was removed in a second operation after sufficient hypertrophy of the left liver graft had occurred. Neither donor developed postoperative complications. In both recipients, the graft volume increased by an average of 105% (329 ml to 641 ml), from a graft-to-body-weight ratio of 0.54 to 1.08 within 11 days after LTX, so that the remnant native right liver could be removed. No recipient developed small-for-size syndrome; graft function and overall condition is good in both recipients after a follow-up time of 25 months. Conclusions Auxiliary two-staged partial resection LTX using living-donor left lobes is technically feasible and can prevent small-for-size situation. This new technique can expand the potential living-donor pool and contributes to increase donor safety.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBMC Surgery
Verlag:BMC
Ort der Veröffentlichung:LONDON
Band:2021
Nummer des Zeitschriftenheftes oder des Kapitels:21
Seitenbereich:S. 166
Datum26 März 2021
InstitutionenMedizin > Lehrstuhl für Chirurgie
Medizin > Lehrstuhl für Kinder- und Jugendmedizin
Medizin > Abteilung für Nuklearmedizin
Identifikationsnummer
WertTyp
10.1186/s12893-021-01167-6DOI
Stichwörter / Keywords; Left liver living donation; Split liver transplantation; Auxiliary liver transplantation; ASPIRE
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-463888
Dokumenten-ID46388

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