Right lobe living donor liver transplantation.

Abstract:

BACKGROUND:The shortage of livers for transplantation has prompted transplant centers to seek alternatives to conventional cadaveric liver transplantation. Left lateral segmentectomy from living donors has proven to be a safe operation for the donor with excellent results in the pediatric population. Left lobectomy, conceived to supply more tissue, still provides insufficient liver mass for an average size adult patient. Right lobectomy could supply a graft of adequate size. METHODS:Donors were considered only after recipients were listed according to United Network for Organ Sharing (UNOS) criteria. Donor evaluation included liver biopsy, magnetic resonance imaging, and celiac and mesenteric angiography. The donor operation consisted of a right lobectomy uniformly performed throughout the series as described herein. RESULTS:Twenty-five right lobe living donor liver transplants were performed between adults, with no significant complications in donors. Recipient and graft survival was 88%, with three recipient deaths secondary to uncontrolled sepsis in patients at high risk for liver transplant; all three had functioning grafts. CONCLUSIONS:Right lobe living donor liver transplantation poses challenges that require a meticulous surgical technique to minimize morbidity in the recipient. Right lobectomies for living donation can be performed safely with minimal risk to both donor and recipient although providing adequate liver mass for an average size adult patient.

journal_name

Transplantation

journal_title

Transplantation

authors

Marcos A,Fisher RA,Ham JM,Shiffman ML,Sanyal AJ,Luketic VA,Sterling RK,Posner MP

doi

10.1097/00007890-199909270-00012

subject

Has Abstract

pub_date

1999-09-27 00:00:00

pages

798-803

issue

6

eissn

0041-1337

issn

1534-6080

journal_volume

68

pub_type

杂志文章
  • Is selenium deficiency an important risk factor for chronic graft nephropathy? A pilot study.

    abstract:BACKGROUND:Lipid peroxidation by free radicals is a key step in the development of atherosclerosis. Chronic graft nephropathy (CGN) is a common cause of allograft failure and shares many histologic features with atherosclerosis. Although hyperlipidemia is a common finding in renal transplant recipients, not all patient...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000090750.47058.24

    authors: Morris-Stiff GJ,Oleesky D,Jurewicz WA

    更新日期:2003-10-15 00:00:00

  • Remote ischemic preconditioning of the recipient reduces myocardial ischemia-reperfusion injury of the denervated donor heart via a Katp channel-dependent mechanism.

    abstract:BACKGROUND:We assess whether remote ischemic preconditioning (rIPC) of the recipient can modify ischemia-reperfusion (IR) injury in the donor heart following orthotopic heart transplantation from brain dead donors and to examine potential mechanisms of protection. METHODS:Sixteen pigs weighing from 26 to 34.2 (mean 29...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000159137.76400.5d

    authors: Konstantinov IE,Li J,Cheung MM,Shimizu M,Stokoe J,Kharbanda RK,Redington AN

    更新日期:2005-06-27 00:00:00

  • Liver Transplantation for NASH-Related Hepatocellular Carcinoma Versus Non-NASH Etiologies of Hepatocellular Carcinoma.

    abstract:BACKGROUND:Liver transplant (LT) for nonalcoholic steatohepatitis (NASH) related hepatocellular carcinoma (HCC) is not well characterized in the literature. The aim of the study was to examine characteristics and outcomes of patients who had LT for NASH-HCC (NASH) versus HCC from other liver diseases (non-NASH). METHO...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000002043

    authors: Sadler EM,Mehta N,Bhat M,Ghanekar A,Greig PD,Grant DR,Yao F,Sapisochin G

    更新日期:2018-04-01 00:00:00

  • Everolimus with reduced cyclosporine versus MMF with standard cyclosporine in de novo heart transplant recipients.

    abstract:BACKGROUND:Pharmacokinetic modeling supports trough monitoring of everolimus, but prospective data comparing this approach versus mycophenolate mofetil (MMF) in de novo cardiac transplant recipients are currently unavailable. METHODS:In a 12-month multicenter open-label study, cardiac transplant patients received ever...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/TP.0b013e3181aacd22

    authors: Lehmkuhl HB,Arizon J,Viganò M,Almenar L,Gerosa G,Maccherini M,Varnous S,Musumeci F,Hexham JM,Mange KC,Livi U,2411 Study Investigators.

    更新日期:2009-07-15 00:00:00

  • Differential effect of cyclosporine in vivo on the distribution of T cell subsets in the thymus, spleen, and lymph nodes.

    abstract::Cyclosporine treatment of BALB/c mice (at a dose of 20 mg/kg every other day for 3 weeks) caused a remarkable reduction in the PNA-, L3T4+Lyt-2- subset of thymocytes. A significant reduction of the L3T4+Lyt-2-subset was also observed in both the lymph node and spleen cells of CsA-treated mice, though the degree of the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00020

    authors: Hiramine C,Hojo K,Matsumoto H,Koseto M,Itoh M

    更新日期:1989-03-01 00:00:00

  • Late onset of severe graft-versus-host disease in a pediatric liver transplant recipient.

    abstract::We report the management of a patient with the late onset of chronic graft-versus-host disease (GVHD) after orthotopic liver transplantation. GVHD is a rare complication of solid organ transplants that usually presents early after transplantation and is fatal in the majority of cases. Our patient differs from the typi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200105270-00022

    authors: Dunn SP,Krueger LJ,Butani L,Punnett H

    更新日期:2001-05-27 00:00:00

  • CD47 blockade reduces ischemia-reperfusion injury and improves outcomes in a rat kidney transplant model.

    abstract:BACKGROUND:Ischemia-reperfusion injury (IRI) significantly contributes to delayed graft function and inflammation, leading to graft loss. Ischemia-reperfusion injury is exacerbated by the thrombospondin-1-CD47 system through inhibition of nitric oxide signaling. We postulate that CD47 blockade and prevention of nitric ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000252

    authors: Lin Y,Manning PT,Jia J,Gaut JP,Xiao Z,Capoccia BJ,Chen CC,Hiebsch RR,Upadhya G,Mohanakumar T,Frazier WA,Chapman WC

    更新日期:2014-08-27 00:00:00

  • FDA perspective: enrolment of elderly transplant recipients in clinical trials.

    abstract::Since 1989, the U.S. Food and Drug Administration (FDA) has encouraged the study of new drug and therapeutic products in elderly patients. However, despite the aging population in the United States, elderly patients continue to be underrepresented in clinical trials across a variety of therapeutic areas, including tra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31828279d9

    authors: Meyer JM,Archdeacon P,Albrecht R

    更新日期:2013-04-15 00:00:00

  • Direct evidence of a functional separation of alloreactive T lymphocytes from bystander cells infiltrating rat allografts. Interleukin 2 receptor-positive cells reacting with the monoclonal antibody ART 18 mediating second-set rejection.

    abstract::In this study we examined the functional capacity of unseparated, IL-2R positive and IL-2R negative leukocytes infiltrating BN rat hearts or kidneys grafted into allogeneic LEW rats. Upon adoptive transfer into syngeneic LEW recipients, splenocytes or day-3 graft infiltrate cells of either cardiac or renal transplants...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199007000-00019

    authors: Heidecke CD,Brauer R,Schneider-Eicke J,Schilling T,Wolff S,Diamantstein T

    更新日期:1990-07-01 00:00:00

  • Respiratory tract viral infections in bone marrow transplant patients.

    abstract:BACKGROUND:Community respiratory viruses such as respiratory syncytial virus (RSV), adenovirus, influenza A, influenza B, and the parainfluenza group are frequent causes of respiratory disease in bone marrow transplant (BMT) patients. MATERIAL AND METHODS:During the period from March 1993 to August 1999, 810 samples o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000072012.26176.58

    authors: Raboni SM,Nogueira MB,Tsuchiya LR,Takahashi GA,Pereira LA,Pasquini R,Siqueira MM

    更新日期:2003-07-15 00:00:00

  • Characterizing lung metabolism with carbon-13 magnetic resonance spectroscopy in a small-animal model: evidence of gluconeogenesis during hypothermic storage.

    abstract::Experimental evidence suggests storing lungs inflated with oxygen and with oxidizable substrate improves results of lung transplantation. Glucose is included in the low-potassium-dextran (LPD) solution Perfadex to achieve this goal. The authors hypothesized that other substrates might be more effective. Rat lungs were...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000169129.45433.b6

    authors: Peltz M,He TT,Adams GA 4th,Chao RY,Meyer DM,Jessen ME

    更新日期:2005-08-15 00:00:00

  • Initial results of solitary pancreas transplants performed without regard to donor/recipient HLA mismatching.

    abstract:BACKGROUND:We hypothesized that solitary pancreas transplants could be performed successfully even in the presence of poor HLA matching if an aggressive approach were taken with regard to immunosuppressive protocol and the performance of allograft biopsy. METHODS:Seven pancreas-after-kidney transplants and seven pancr...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00007890-200007270-00028

    authors: Gruber SA,Katz S,Kaplan B,Clark JH 3rd,Chen PC,El-Sabrout R,Kerman RH

    更新日期:2000-07-27 00:00:00

  • Sotrastaurin (AEB071) alone and in combination with cyclosporine A prolongs survival times of non-human primate recipients of life-supporting kidney allografts.

    abstract:BACKGROUND:Sotrastaurin (STN), a novel oral protein kinase C inhibitor that inhibits early T-cell activation, was assessed in non-human primate recipients of life-supporting kidney allografts. METHODS:Cynomolgus monkey recipients of life-supporting kidney allografts were treated orally with STN alone or in combination...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31823cf92f

    authors: Bigaud M,Wieczorek G,Beerli C,Audet M,Blancher A,Heusser C,Morris RE,Wagner J

    更新日期:2012-01-27 00:00:00

  • Real-time direct measurement of human liver allograft temperature from recovery to transplantation.

    abstract::Temperature is a key parameter in organ preservation that has been consistently linked to primary nonfunction (PNF). In this communication, and for the first time anywhere, continued and direct measurements of human liver intraparenchymal temperatures are reported in six clinical cases of orthotopic liver transplantat...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000195903.12999.bc

    authors: Villa R,Fondevila C,Erill I,Guimerà A,Bombuy E,Gómez-Suárez C,Sacristán JC,García-Valdecasas JC

    更新日期:2006-02-15 00:00:00

  • Late recurrent urinary tract infections may produce renal allograft scarring even in the absence of symptoms or vesicoureteric reflux.

    abstract:BACKGROUND:The significance of late urinary tract infections (UTIs) after renal transplantation and their association with scarring and graft dysfunction remains controversial. We sought to define the prevalence of renal scarring in allograft recipients with a history of late recurrent UTIs, to determine whether the pr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000275377.09660.fa

    authors: Dupont PJ,Psimenou E,Lord R,Buscombe JR,Hilson AJ,Sweny P

    更新日期:2007-08-15 00:00:00

  • Studies on heterophile antibodies in transplantation sera.

    abstract::By means of double diffusion in gel reactions, "heterophile" antibodies were demonstrated in human renal transplantation sera. Of thirty-two recipients of renal allografts, 12 (37 per cent) had antibodies to extract of bovine erythrocyte stromata, and 5 (19 per cent) of 26 recipients produced antibodies to extract of ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197501000-00004

    authors: Kano K,Loza U,Gerbasi JR,Milgrom F

    更新日期:1975-01-01 00:00:00

  • Everolimus interferes with healing of experimental intestinal anastomoses.

    abstract:BACKGROUND:Although clinical data suggest its existence, little is known about the effect of rapamycin derivatives on wound repair. This study aims to delineate the influence of the mammalian target of rapamycin inhibitor everolimus on wound healing in the rat intestine. METHODS:Four groups of 26 male Wistar rats rece...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000246078.09845.9c

    authors: van der Vliet JA,Willems MC,de Man BM,Lomme RM,Hendriks T

    更新日期:2006-12-15 00:00:00

  • Report of the Key Opinion Leaders Meeting on Stem Cell-derived Beta Cells.

    abstract::Beta cell replacement has the potential to restore euglycemia in patients with insulin-dependent diabetes. Although great progress has been made in establishing allogeneic islet transplantation from deceased donors as the standard of care for those with the most labile diabetes, it is also clear that the deceased dono...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002217

    authors: Odorico J,Markmann J,Melton D,Greenstein J,Hwa A,Nostro C,Rezania A,Oberholzer J,Pipeleers D,Yang L,Cowan C,Huangfu D,Egli D,Ben-David U,Vallier L,Grey ST,Tang Q,Roep B,Ricordi C,Naji A,Orlando G,Anderson DG,P

    更新日期:2018-08-01 00:00:00

  • Increasing the donor pool using en bloc pediatric kidneys for transplant.

    abstract:OBJECTIVES:En bloc pediatric kidney transplants (EBPKT) are still a subject of controversy. The aim of this study was to determine whether acceptable long-term graft survival and function can be achieved in EBPKT compared with the transplant of single, cadaveric, adult donor kidneys. METHODS:A retrospective review was...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000090395.98045.09

    authors: Sánchez-Fructuoso AI,Prats D,Pérez-Contín MJ,Marques M,Torrente J,Conesa J,Grimalt J,Del Rio F,Núñez JR,Barrientos A

    更新日期:2003-10-27 00:00:00

  • Ketorolac-based analgesia improves outcomes for living kidney donors.

    abstract:BACKGROUND:To reduce the morbidity of living kidney donors we introduced ketorolac-based analgesia for patients undergoing open donor nephrectomy in August 1999. There are no prior reports on the use of ketorolac for patients undergoing donor nephrectomy. METHODS:We conducted a retrospective review of all 198 consecut...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200203150-00014

    authors: Freedland SJ,Blanco-Yarosh M,Sun JC,Hale SJ,Elashoff DA,Litwin MS,Smith RB,Rajfer J,Gritsch HA

    更新日期:2002-03-15 00:00:00

  • Donor-recipient microchimerism is not required for tolerance induction following recipient pretreatment with donor-specific transfusion and anti-CD4 antibody. Evidence of a clear role for short-term antigen persistence.

    abstract::There is considerable current interest in the possibility that long-term graft acceptance in clinical solid-organ transplantation might be dependent upon the development of a microchimeric state between the donor and recipient. This possibility has been prompted by the observation that in some transplant patients cell...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199505270-00001

    authors: Bushell A,Pearson TC,Morris PJ,Wood KJ

    更新日期:1995-05-27 00:00:00

  • Monocyte-derived dendritic cell precursors facilitate tolerance to heart allografts after total lymphoid irradiation.

    abstract:BACKGROUND:Previous studies have shown that posttransplant total lymphoid irradiation, anti-thymocyte globulin, and an intravenous donor blood cell infusion induce tolerance to ACI heart allografts in Lewis rat hosts. METHODS:In the current study, fresh ACI monocytes and dendritic cell precursors, derived from short-t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199811270-00004

    authors: Hayamizu K,Huie P,Sibley RK,Strober S

    更新日期:1998-11-27 00:00:00

  • RO 31-8220, a novel protein kinase C inhibitor, inhibits early and late T cell activation events.

    abstract::The improvement of graft survival over the past decade has mainly been due to the development of more highly specific immunosuppressive agents, such as cyclosporine (CsA) and FK506. CsA and FK506 inhibit T cell activation by interfering with the calcium-mediated pathway, one of two pathways needed for T cell activatio...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199606150-00015

    authors: Geiselhart L,Conti DJ,Freed BM

    更新日期:1996-06-15 00:00:00

  • Influence of prophylactic treatment with gamma-immunoglobulins on renal function after kidney transplantation in rhesus monkeys.

    abstract::The effect of prophylactic i.v. administration of high doses of human gamma-immunoglobulin (IgG) on kidney graft survival was investigated in rhesus monkeys treated with azathioprine and prednisolone. In nontransfused recipients not treated with IgG (controls), graft survival ranged from 9 to 22 days; if nontreated an...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198201000-00006

    authors: Borleffs JC,Marquet RL,de By-Aghai Z,Dolkart RE,Persijn GG,Balner H

    更新日期:1982-01-01 00:00:00

  • Bile cytology in orthotopic liver transplantation.

    abstract::The utility of bile cytology (BC) in the diagnosis of hepatic graft rejection was assessed in 21 liver transplantations in 18 patients. A total of 307 BC specimens were studied; cell density and relative contribution of different cell types were monitored in 130 specimens. The findings in 62 fine-needle aspiration bio...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198912000-00021

    authors: Kubota K,Ericzon BG,Barkholt L,Reinholt FP

    更新日期:1989-12-01 00:00:00

  • Outcomes of laparoscopic donor nephrectomy in obese patients.

    abstract::The applicability of laparoscopic donor nephrectomy (LDN) has not been assessed in the obese donor. We hypothesized that obesity is not a technical contraindication to LDN. From May 1998 to February 1999, 40 patients underwent LDN at the Georgetown Transplant Institute with the transperitoneal technique. Prophylaxis a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200001150-00031

    authors: Kuo PC,Plotkin JS,Stevens S,Cribbs A,Johnson LB

    更新日期:2000-01-15 00:00:00

  • Improved phagocyte response by co-amoxiclav in renal transplant recipients.

    abstract:BACKGROUND:Infectious diseases are a major source of morbidity and mortality for immunosuppressed transplant recipients and the antimicrobial chemotherapy can be often less effective in these individuals, because the contribution of underlying host defenses is absent. METHODS:The influence of co-amoxiclav on the funct...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102270-00016

    authors: Cuffini AM,Tullio V,Giacchino F,Bonino A,Mandras N,Bianchi N,Roana J,Scalas D,Bonello F,Carlone NA

    更新日期:2001-02-27 00:00:00

  • Conversion from cyclosporine to azathioprine in renal allograft recipients.

    abstract::Fifty seven recipients of renal allografts initially treated with CsA and low-dose prednisone were switched to azathioprine and low-dose steroids. Ten had prolonged (greater than 28 days) allograft nonfunction after transplantation (group 1), 8 had ongoing, poorly controlled rejection (group 2), and 39 had stable func...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198412000-00024

    authors: Rocher LL,Milford EL,Kirkman RL,Carpenter CB,Strom TB,Tilney NL

    更新日期:1984-12-01 00:00:00

  • Ten-year results of a randomized trial comparing tacrolimus versus cyclosporine a in combination with mycophenolate mofetil after heart transplantation.

    abstract:BACKGROUND:Long-term results of prospective randomized trials comparing triple immunosuppressive strategies combining tacrolimus (TAC) or cyclosporine A (CsA) with mycophenolate mofetil (MMF) and steroids after heart transplantation (HTX) are rarely published. Therefore, we collected long-term follow-up data of an inte...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e318277e378

    authors: Guethoff S,Meiser BM,Groetzner J,Eifert S,Grinninger C,Ueberfuhr P,Reichart B,Hagl C,Kaczmarek I

    更新日期:2013-02-27 00:00:00

  • Pubertal Development in Pediatric Kidney Transplant Patients Receiving Mammalian Target of Rapamycin Inhibitors or Conventional Immunosuppression.

    abstract:BACKGROUND:Data regarding the onset of puberty in children receiving mammalian target of rapamycin (mTOR) inhibitors are limited. METHODS:Kidney transplant patients aged <14 years were analyzed retrospectively to a maximum age of 18 years, with a minimal observation period of 1 year. Immunosuppression comprised (1) st...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001037

    authors: Förster J,Ahlenstiel-Grunow T,Zapf A,Mynarek M,Pape L

    更新日期:2016-11-01 00:00:00