Direkt zum Inhalt

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

Artikel

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.

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBMC Surgery
VerlagBMC
Open Access ArtDEAL (Springer Gold)
Ort der VeröffentlichungLONDON
Band2021
Nummer des Zeitschriftenheftes oder des Kapitels21
SeitenbereichS. 166
Datum26 März 2021
Veröffentlichungsdatum15 Jul 2021 18:02
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

Bibliographische Daten exportieren

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

nach oben