Abstract:
BACKGROUND:Some variations of hepatic artery, which show 30% incidence, must be taken into account to avoid damage to the liver transplant during harvesting, we analyzed the incidence of variations and their influence on postoperative results. PATIENTS AND METHODS:We performed a retrospective study of 325 liver transplantation between 2001 and December 2011. RESULTS:Variations in the hepatic artery were detected in 91 transplantations (32%) including 29 donors (8.9%), 57 recipients (17.5%), and 5 both (1.5%). The main variation among donors was a right hepatic artery originating from the mesenteric artery (38.2%), and a left hepatic artery from the left gastric artery (35.3%). Recipients showed the same distribution: RHA-UMA (right hepatic artery from upper mesenteric artery) (38.7%) and LHA-LGA (left hepatic artery from left gastric artery) (12.9%). 48.5% of donor hepatic variations did not need bench reconstruction, but all RHA-UMA required it mainly due to the donor gastroduodenal artery (7; 58%) We did not observe significant difference in cold or warm ischemia time, surgical time, red blood cell requirement, postoperative mortality, or overall survival when there was or was not an arterial anomaly. But arterial complications were more frequent in cases where there were recipient anomalies or both versus without anomalies or with donor anomalies (20%, 7,8%, 0%, 5,6%; P = .06). Donor RHA-UMA was associated with worse overall survival (69, 2%; P = .07) and longer cold ischemia time and red blood requirement. Bench reconstruction held to longer cold ischemia time and blood cell requirements (P = .01) and shorter overall survival (82.4%). RHA-UMA was associated (P = .08) with worse actuarial survival and a needed for bench reconstruction (P = .01). CONCLUSION:One must be careful during liver harvest to detect hepatic artery variations to avoid damage. Hepatic artery anomalies do not influence liver transplant results except for the presence of an RHA from the UMA with a need for bench reconstruction.
journal_name
Transplant Procjournal_title
Transplantation proceedingsauthors
Pérez-Saborido B,Pacheco-Sánchez D,Barrera Rebollo A,Pinto Fuentes P,Asensio Díaz E,Labarga Rodriguez F,Sarmentero Prieto JC,Martínez Díez R,Rodríguez Vielba P,Gonzálo Martín M,Rodríguez López M,de Anta Román Adoi
10.1016/j.transproceed.2012.09.064subject
Has Abstractpub_date
2012-11-01 00:00:00pages
2606-8issue
9eissn
0041-1345issn
1873-2623pii
S0041-1345(12)01046-9journal_volume
44pub_type
杂志文章abstract:BACKGROUND:Urological complications after renal transplantation (RT), including urine leaks, remain the most common type of surgical complications in the early post-transplant period. In this study we evaluated 324 consecutive RTs recipients in whom Haberal's corner-saving anastomosis technique was used for ureteroneoc...
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abstract:BACKGROUND:Accurate estimation of graft volume is crucial to avoid small-for-size syndrome following adult-to-adult living donor liver transplantation AALDLT). Herein, we combined radiological and mathematical approaches for preoperative assessment of right graft volume. METHODS:The right graft volume was preoperative...
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journal_title:Transplantation proceedings
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doi:10.1016/j.transproceed.2012.01.122
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abstract:OBJECTIVES:We describe our experience with infants suffering from interstitial pneumonia referred for lung transplantation. METHODS:From April 1998 to December 2000, three infants were admitted to our lung transplantation program: a 9-month-old girl (patient 1) suffering from surfactant protein C deficiency who had hi...
journal_title:Transplantation proceedings
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更新日期:2003-08-01 00:00:00
abstract::von Hippel-Lindau (VHL) disease is a genetic syndrome based on an abnormality of the VHL gene located on the short arm of chromosome 3. Clinically, it presents as multiple tumors at several levels. The VHL gene product (pVHL) acts as a tumor-suppressing protein. In conditions of hypoxia it leads to an increase in seve...
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abstract::Patients with cirrhosis develop metabolic derangements of protein, carbohydrate, and lipid metabolism. Malnutrition is commonplace and is associated with morbidity and mortality. Specific nutrient deficiencies may occur and enteral or parenteral nutritional support may improve outcome in appropriately selected patient...
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pub_type: 杂志文章,评审
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abstract:INTRODUCTION:In this open-label multicenter study, 205 simultaneous pancreas-kidney (SPK) transplant recipients between 1998 and 2000 were randomly assigned to tacrolimus or cyclosporine-microemulsion (ME). All patients received concomitant rATG induction therapy, mycophenolate mofetil and short-term corticosteroids. W...
journal_title:Transplantation proceedings
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Transplantation proceedings
pub_type: 杂志文章
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journal_title:Transplantation proceedings
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pub_type: 杂志文章
doi:10.1016/j.transproceed.2004.04.085
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journal_title:Transplantation proceedings
pub_type: 杂志文章
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更新日期:2014-10-01 00:00:00
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journal_title:Transplantation proceedings
pub_type: 杂志文章
doi:10.1016/j.transproceed.2013.03.045
更新日期:2013-07-01 00:00:00
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更新日期:2013-10-01 00:00:00
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doi:10.1016/j.transproceed.2009.08.073
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Since cytomegalovirus (CMV) infects between 20% and 50% of heart transplant patients, we reviewed our experience in 7 cases of this infection. METHODS:A prospective analysis of CMV infection was performed in heart transplant patients who received cyclosporine, azathioprine, or mycophenolate mofetil, and pre...
journal_title:Transplantation proceedings
pub_type: 杂志文章
doi:10.1016/j.transproceed.2006.12.030
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更新日期:2008-07-01 00:00:00
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doi:10.1016/j.transproceed.2004.12.091
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更新日期:2010-10-01 00:00:00
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更新日期:1999-02-01 00:00:00
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journal_title:Transplantation proceedings
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更新日期:2011-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-04-01 00:00:00
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journal_title:Transplantation proceedings
pub_type: 杂志文章
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