Small-for-size syndrome in adult-to-adult living-related liver transplantation

被引:35
作者
Gruttadauria, Salvatore [1 ,2 ]
Pagano, Duilio [1 ]
Luca, Angelo [1 ]
Gridelli, Bruno [1 ,2 ]
机构
[1] Univ Pittsburgh, Med Ctr Italy, Ist Mediterraneo Trapianti & Terapie Alta Special, I-90127 Palermo, Italy
[2] Univ Pittsburgh, Med Ctr, Dept Surg, Pittsburgh, PA 15213 USA
关键词
Adult-to-adult living-related liver transplantation; Small-for-size syndrome; Liver resection; Liver transplantation; SPLENIC ARTERY-OCCLUSION; PORTAL HYPERPERFUSION; CLINICAL-IMPLICATIONS; GRAFT SIZE; HYPERTENSION; HEPATECTOMY; RECIPIENTS; CIRRHOSIS; PRESSURE; INJURY;
D O I
10.3748/wjg.v16.i40.5011
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Small-for-size syndrome (SFSS) in adult-to-adult living-related donor liver transplantation (LRLT) remains the greatest limiting factor for the expansion of segmental liver transplantation from either cadaveric or living donors. Portal hyperperfusion, venous pathology, and the arterial buffer response significantly contribute to clinical and histopathological manifestations of SFSS. Here, we review the technical aspects of surgical and radiological procedures developed to treat SFSS in LRLT, along with the pathophysiology of this condition. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:5011 / 5015
页数:5
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