• 검색 결과가 없습니다.

Impact of extended living donor criteria focusing on donor safety in living donor liver transplantation

N/A
N/A
Protected

Academic year: 2021

Share "Impact of extended living donor criteria focusing on donor safety in living donor liver transplantation"

Copied!
1
0
0

로드 중.... (전체 텍스트 보기)

전체 글

(1)

AHBPSAnnals of Hepato-Biliary-Pancreatic Surgery

www.ahbps.org S194

Impact of extended living donor criteria focusing on donor safety in living donor liver transplantation

Joodong KIM*, Donglak CHOI, Eunkyoung JWA

Division of Hepatobiliary Pancreas Surgery and Liver Transplantation, Department of Surgery, Catholic University of Daegu College of Medicine, Daegu, Korea

LV-PP-3-7

Introduction: Donor safety has been the primary concern during living donor liver transplantation (LDLT) and therefore most cen- ters keep the strict selection criteria for donor safety. Recently, conventional donor selection criteria have been modified to expand the donor pool in LDLT. Herein, we describe out center’s experience for extended living donor criteria focusing on remnant liver volume (RLV) and graft steatosis.

Methods: We retrospectively reviewed the outcomes of 452 living donor right hepatectomy (LDRH) including 115 extended criteria donors who performed at our institution from January 2010 to June 2020. Extended donor was defined with criteria as follows: 1) old donor (age > 40 years) with RLV of < 35%; 2) young donor (age ≤ 40 years) with RLV < 29% and minimal fatty change (< 15%); 3) young donor with mild hepatosteatosis (15%–30%) and RLV of < 35%. The outcomes in extended living donors were compared with those in living donors under conventional criteria.

Results: Posthepatectomy liver failure (PHLF) occurred in 48 donors (10.6%) and most cases were grade A except one case with con- ventional criteria. PHLF and major complications were not more frequent in extended donor group . In multivariate analysis, the only the event for major complications was associated with PHLF but neither extended criteria nor RLV ratio was related to PHLF.

Conclusions: LDRH under our extended criteria could be performed to expand donor pools without adverse effects on donor safety and could be performed safely in donors with RLV ratio < 30% under our strict criteria when no other donors are available.

pISSN: 2508-5778ㆍeISSN: 2508-5859

Ann Hepatobiliary Pancreat Surg 2021;25 Suppl 1:S194 https://doi.org/10.14701/ahbps.LV-PP-3-7

Corresponding Author: Joodong KIM (milledr1127@gmail.com) Presenter: Joodong KIM (milledr1127@gmail.com)

Copyright Ⓒ The Korean Association of Hepato-Biliary-Pancreatic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

참조

관련 문서

Meta-analysis could not be performed in a systematic literature review of 63 RCTs that examined exercise- based CR in patients with coronary syndrome due to the

Stop transfusion. Emergency management of anaphylaxis, then test serum of both donor/blood and recipient for quantitative IgA level. Future blood products only

• • The efficiency of energy transfer (fraction of transfers per donor lifetime ~ k ET /k D ) by the dipole mechanism depends mainly on the oscillator strength of the A

4,5 However, because of variations in the anatomy of the hard palate between patients, particular care must be taken during donor tissue harvesting not to damage structures

This study also shows that real exchange rate misalignment could have a positive impact on export performance in China.. With its implications on

기를 phenyl기의 para 위치에 치환시켰을 때, BODIPY dye의 meso 위치에 치 환된 Anisole과 BODIPY core는 electron donor-acceptor pair를 이루었고, 그것은 S 1 ( 1 PS,

1) It could be lengthened defected columella without additional surgical procedure. 2) It could be avoided a complication as like meganostril and delaying

In the present study, the impact properties of a CFRP structural member under an impact load were intentively investigated for passenger safety protection under assuming