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Auxiliary partial orthotopic liver transplantation in the treatment of acute liver failure: a case report.

Abstract：

:A successful experience with auxiliary partial orthotopic liver transplantation (APOLT) for acute liver failure is reported in a 29-year-old woman who experienced jaundice, generalized erythema for 7 days, and decreased mentation for 3 days. Two months prior, she suffered pulmonary tuberculosis, being currently treated with antituberculous medications, which caused the fulminant hepatic failure. We decided to perform APOLT based on two facts. The first was the possibility that the diseased native liver may recover sufficiently to withdraw the immunosuppressants. Second, the pulmonary tuberculosis may have been worsened by immunosuppression. We removed the extended lateral section of the recipient for the graft. The left hepatic vein of the extended left lateral graft was anastomosed to the left hepatic vein of the recipient. The left portal vein of the graft was anastomosed to the left portal vein of the recipient. The right portal vein of the recipient was left without any manipulation. A duct-to-duct anastomosis was performed. On postoperative day 3, antituberculous medications were started. On the postoperative day 37, she was discharged without any problems. On the postoperative day 120, she showed no event of rejection, and her pulmonary symptoms improved. We performed the operation without transection of the portal branch to the native liver, but no functional competition has been discovered.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Lee DS,Woo JG,Lee HH,Lee KW,Joh JW,Kim SJ,Choi SH,Heo JS,Hyon WS,Kim GS,Lee SK

doi

10.1016/j.transproceed.2004.08.072

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

2228-9

issue

8

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(04)00942-X

journal_volume

36

pub_type

杂志文章

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