Intraoperative abortion of adult living donor liver transplantation: 15 cases from 1,179 cases in 20 years of experience in a single center

被引：3
作者：
Parkl, Jungchan [1 ]
Choi, Gyu-Seong [2 ]
Gwak, Mi Sook [1 ]
Ko, Justin Sangwook [1 ]
Han, Sangbin [1 ]
Han, Bobae [1 ]
Joh, Jae Won [2 ]
Kim, Sung Joo [2 ]
Lee, Suk-Koo [2 ]
Kwon, Choonhyuck David [2 ]
Kim, Jongman [2 ]
Cho, Chan Woo [2 ]
Kim, Gaab Soo [1 ]
机构：
[1] Sungkyunkwan Univ, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Sch Med, 81 Irwon Ro, Seoul 06351, South Korea
[2] Sungkyunkwan Univ, Dept Surg, Samsung Med Ctr, Sch Med, Seoul, South Korea
来源：
ANNALS OF SURGICAL TREATMENT AND RESEARCH | 2018年 / 95卷 / 04期
关键词：
Abortion; Living donors; Liver transplantation; Postoperative care; HEPATOCELLULAR-CARCINOMA; MR CHOLANGIOPANCREATOGRAPHY; BILIARY ANATOMY; CRITERIA; DIAGNOSIS; CIRRHOSIS;
D O I：
10.4174/astr.2018.95.4.213
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Purpose: This study aimed to report intraoperative abortion of adult living donor liver transplantation (LDLT). Methods: From June 1997 to December 2016, 1,179 adult LDLT cases were performed. 15 cases (1.3%) of intraoperative abortions in LDLT were described. Results: Among 15 cases, 5 intraoperative abortions were donor-related, and remaining 10 cases were recipient-related. All donor-related abortions were due to unexpected steatohepatitis. Among remaining 10 recipient-related intraoperative abortions, unexpected extension of hepatocellular carcinoma was related in 5 cases. Two cases of intraoperative abortions were related to bowel inflammation, and 2 cases were associated with severe adhesion related to previous treatment. One recipient with severe pulmonary hypertension was also aborted. Conclusion: Complete prevention of aborted LDLT is still not feasible. In this regard, further efforts to minimize intraoperative abortion are required.
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页码：213 / 221
页数：9
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