Auxiliary partial orthotopic liver transplantation for acute liver failure.

Abstract:

INTRODUCTION:Auxiliary partial orthotopic liver transplantation (APOLT) in acute liver failure acts as a bridge to native liver regeneration with potential for immunosuppression free survival. While technical concerns limit its universal acceptance, the indications in acute liver failure also need to be examined for this procedure to ultimately succeed. CASE HISTORY:We present the case of an eight-month-old girl with cryptogenic acute liver failure who underwent APOLT. She developed postoperative liver dysfunction, most likely owing to the persistence of the diseased native liver, ultimately leading to an orthotopic retransplantation. She remains well on follow-up review. CONCLUSIONS:A tempered approach to selecting patients for APOLT (especially with regard to aetiology of acute liver failure) makes it a safe and effective alternative to orthotopic liver transplantation.

journal_name

Ann R Coll Surg Engl

authors

Shrivastav M,Rammohan A,Reddy MS,Rela M

doi

10.1308/rcsann.2018.0204

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

e71-e72

issue

3

eissn

0035-8843

issn

1478-7083

journal_volume

101

pub_type

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