Living donor liver retransplantation for primary non-function of liver graft following multivisceral transplantation in a pediatric patient

Shin Hwang; Dae-Yeon Kim; Jung-Man Namgoong; Kyung-Mo Kim; Seak Hee Oh; Ki-Hun Kim; Chul-Soo Ahn; Hyunhee Kwon; Yu Jeong Cho; Yong Jae Kwon

추천

검색

질문

자료유형: 학술저널

저자정보: Shin Hwang (University of Ulsan College of Medicine) Dae-Yeon Kim (University of Ulsan College of Medicine) Jung-Man Namgoong (University of Ulsan College of Medicine) Kyung-Mo Kim (University of Ulsan College of Medicine) Seak Hee Oh (University of Ulsan College of Medicine) Ki-Hun Kim (University of Ulsan College of Medicine) Chul-Soo Ahn (University of Ulsan College of Medicine) Hyunhee Kwon (University of Ulsan College of Medicine) Yu Jeong Cho (University of Ulsan College of Medicine) Yong Jae Kwon (University of Ulsan College of Medicine)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제24권 제2호

발행연도: 2020.5

수록면: 198 - 202 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Multivisceral organ transplantation (MVOT) includes transplantation of three or more abdominal organs, generally including the small bowel, duodenum, stomach, liver, pancreas, and colon. We here presented the detailed procedures of repeat living donor liver transplantation for primary non-function of the first liver graft following MVOT in a pediatric patient. A 6-year-old girl with chronic intestinal pseudo-obstruction underwent MVOT with 5-year-old donor organs. However, the primary non-function of the liver graft developed, and an emergency living donor liver transplantation operation using a left lateral section graft was performed on the third day after MVOT. The donor was the patient’s father. Portal flow interruption induced ischemic congestion of the whole small bowel, thus we used a series of porto-caval shunt to reduce the risk of ischemic splanchnic congestion during recipient hepatectomy and graft implantation. Other surgical procedures were the same as the standardized procedures for left liver graft implantation. The graft-recipient weight ratio was 2.15. The patient was managed conservatively for 3 months and discharged in an improved condition at 4 months after MVOT. She finally passed away at 22 months after MVOT. We think that our experience will be helpful for surgeons to cope with portal vein clamping-associated splanchnic congestion during liver transplantation and other abdominal surgeries.

#Multivisceral transplantation #Primary non-function #Living donor liver transplantation #Portocaval shunt

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!