Selection of the right lobe liver graft from living family donor

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Complications of right lobe living donor liver transplantation.

BACKGROUND/AIMS Right lobar living donor liver transplantation (LDLT) has been controversial because of donor deaths and widely variable reports of recipient and donor morbidity. Our aims were to ensure full disclosure to donors and recipients of the risks and benefits of this procedure in a large University center and to help explain reporting inconsistencies. METHODS The Clavien 5-tier grad...

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Caudal middle hepatic vein trunk preserved right lobe graft in living donor liver transplantation

PURPOSE Multiple segment 5 vein (V5) anastomoses are common and inevitable in living donor liver transplantation (LDLT) using modified right lobe (MRL) graft. Sacrifice of segment 4a vein (V4a) can simplify bench work and avoid graft congestion. But it could be harmful to some donors in previous simulation studies. This study aimed to evaluate donor safety in LDLT using caudal middle hepatic ve...

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Duct-to-duct biliary reconstruction in living donor liver transplantation utilizing right lobe graft.

OBJECTIVE To assess the feasibility and safety of duct-to-duct biliary anastomosis for living donor liver transplantation (LDLT) utilizing the right lobe. SUMMARY BACKGROUND DATA Biliary tract complications remain one of the most serious problems after liver transplantation. Roux-en-Y hepaticojejunostomy has been a standard procedure for biliary reconstruction in LDLT with a partial hepatic g...

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Right lobe living donor liver transplantation: a review.

The continuing shortage of organs for adult transplant recipients has generated enthusiasm for adult-to-adult living donor liver transplantation (LDLT). The major concern has been the ability to resect a graft of adequate size without subjecting the donor to undue risk. The right hepatic lobe is generally large enough for adult recipients, but because of the real and perceived risks of right lo...

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Donor complications including the report of one death in right-lobe living-donor liver transplantation.

BACKGROUND/AIMS Our objective is to assess donor complications in all right hepatic lobe living-donor liver transplantation (LDLT) at our center. METHODS Of a total of 352 liver transplantations performed, 60 were right-lobe LDLT. Most donors (88.3%) were related to the recipients. RESULTS Mean hospital stay was 5.4+/-0.6 days. No complications occurred due to preoperative evaluation. Most ...

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ژورنال

عنوان ژورنال: UKRAINIAN JOURNAL OF SURGERY

سال: 2018

ISSN: 1999-1649,1997-2938

DOI: 10.22141/1997-2938.1.36.2018.132997