Overcoming the portal steal phenomenon in auxiliary partial orthotopic liver transplantation by modulation of the venous outflow of the native liver

被引:30
作者
Broering, DC
Walter, J
Bassas, AF
机构
[1] Univ Hosp Hamburg Eppendorf, Dept Hepatobiliary Surg & Transplantat, D-20246 Hamburg, Germany
[2] Armed Forces Hosp, Dept Surg, Div Hepatobiliary Surg & Liver Transplantat, Riyadh, Saudi Arabia
关键词
D O I
10.1002/lt.20535
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The main drawback of auxiliary partial orthotopic liver transplantation (APOLT) is the competition of the portal flow between the graft and the native liver, leading to graft failure. In two patients with Crigler-Najjar syndrome type 1, the intrahepatic resistance of the native liver was increased by occluding the recipients middle hepatic vein during parenchymal transection, leading the portal flow towards the graft. This new surgical technique could encourage centers to recommence APOLT.
引用
收藏
页码:1140 / 1143
页数:4
相关论文
共 17 条
[1]   Auxiliary partial orthotopic versus standard orthotopic whole liver transplantation for acute liver failure - A reappraisal from a single center by a case-control study [J].
Azoulay, D ;
Samuel, D ;
Ichai, P ;
Castaing, D ;
Saliba, F ;
Adam, R ;
Savier, E ;
Danaoui, M ;
Smail, A ;
Delvart, V ;
Karam, V ;
Bismuth, H .
ANNALS OF SURGERY, 2001, 234 (06) :723-731
[2]   Vessel loop-guided technique for parenchymal transection in living donor or in situ split-liver procurement [J].
Broering, DC ;
Rogiers, X ;
Malago, M ;
Bassas, A ;
Broelsch, CE .
LIVER TRANSPLANTATION AND SURGERY, 1998, 4 (03) :241-241
[3]  
Egawa H, 1996, TRANSPLANT P, V28, P1071
[4]  
Harada H, 1997, HEPATOLOGY, V26, P1162
[5]   Volume regeneration after right liver donation [J].
Hata, S ;
Sugawara, Y ;
Kishi, Y ;
Niiya, T ;
Kaneko, J ;
Sano, K ;
Imamura, H ;
Kokudo, N ;
Makuuchi, M .
LIVER TRANSPLANTATION, 2004, 10 (01) :65-70
[6]   Auxillary partial orthotopic living donor liver transplantation as an aid for small-for-size grafts in larger recipients [J].
Inomata, Y ;
Kiuchi, T ;
Kim, ID ;
Uemoto, S ;
Egawa, H ;
Asonuma, K ;
Fujita, S ;
Hayashi, M ;
Tanaka, K .
TRANSPLANTATION, 1999, 67 (10) :1314-1319
[7]   Selective portal blood flow diversion in auxiliary partial orthotopic liver transplantation to induce regeneration of the graft [J].
Kaibori, M ;
Egawa, H ;
Inomata, Y ;
Uemoto, S ;
Asonuma, K ;
Kiuchi, T ;
Varela-Fascinetto, G ;
Matsukura, T ;
Kasahara, M ;
Uryuhara, K ;
Inui, A ;
Komatsu, H ;
Fujisawa, T ;
Tanaka, K .
TRANSPLANTATION, 1998, 66 (07) :935-937
[8]   Treatment of ornithine transcarbamylase deficiency in girls by auxiliary liver transplantation: Conceptual changes in a living-donor program [J].
Kasahara, M ;
Kiuchi, T ;
Uryuhara, K ;
Ogura, Y ;
Takakura, K ;
Egawa, H ;
Asonuma, K ;
Uemoto, S ;
Inomata, Y ;
Tanaka, K .
JOURNAL OF PEDIATRIC SURGERY, 1998, 33 (12) :1753-1756
[9]   Auxiliary partial orthotopic living donor liver transplantation: Kyoto University experience [J].
Kasahara, M ;
Takada, Y ;
Egawa, H ;
Fujimoto, Y ;
Ogura, Y ;
Ogawa, K ;
Kozaki, K ;
Haga, H ;
Ueda, M ;
Tanaka, K .
AMERICAN JOURNAL OF TRANSPLANTATION, 2005, 5 (03) :558-565
[10]   Functional portal flow competition after auxiliary partial orthotopic living donor liver transplantation in noncirrhotic metabolic liver disease [J].
Kasahara, M ;
Takada, Y ;
Kozaki, K ;
Uryuhara, K ;
Ogura, Y ;
Ogawa, K ;
Fujimoto, Y ;
Tanaka, K .
JOURNAL OF PEDIATRIC SURGERY, 2004, 39 (07) :1138-1141