| Veröffentlichte Version Download ( PDF | 1MB) | Lizenz: Creative Commons Namensnennung 4.0 International |
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.
Alternative Links zum Volltext
Beteiligte Einrichtungen
Details
| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | BMC Surgery | ||||
| Verlag: | BMC | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | LONDON | ||||
| Band: | 2021 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 21 | ||||
| Seitenbereich: | S. 166 | ||||
| Datum | 26 März 2021 | ||||
| Institutionen | Medizin > Lehrstuhl für Chirurgie Medizin > Lehrstuhl für Kinder- und Jugendmedizin Medizin > Abteilung für Nuklearmedizin | ||||
| Identifikationsnummer |
| ||||
| Stichwörter / Keywords | ; Left liver living donation; Split liver transplantation; Auxiliary liver transplantation; ASPIRE | ||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-463888 | ||||
| Dokumenten-ID | 46388 |
Downloadstatistik
Downloadstatistik