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Article: Right liver adult-to-adult live donor liver transplantation in Hong Kong

TitleRight liver adult-to-adult live donor liver transplantation in Hong Kong
Authors
Issue Date2006
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/trre
Citation
Transplantation Reviews, 2006, v. 20 n. 1, p. 34-40 How to Cite?
AbstractThe extension of live donor liver transplantation (LDLT) from children to adults went in parallel with the shift from using the left-liver graft to the right. Donor right hepatectomy, being a more major procedure, only intensifies the ethical controversy, which is central to LDLT. Since its debut in 1996, right-liver adult-to-adult LDLT has gone through a number of technical innovations and refinements based on constant review of outcomes and study of the relevant pathophysiology. To achieve unimpeded graft venous outflow, the middle hepatic vein was universally included and underwent venoplasty with the right hepatic vein before anastomosis with the recipient inferior vena cava. Donor safety was never compromised and was acquired by preservation of segment 4b hepatic vein in the remnant left lobe. Venovenous bypass, which was associated with adverse outcomes, is no longer used. Early restoration of the circulation through the inferior vena cava was made possible by release of the clamps to the latter before portal vein anastomosis. Through judicious use of the procedure, which was executed with a high degree of precision, using right-liver grafts more than 35% of the estimated liver mass, a 1-year recipient survival of more than 90% is achievable in our series. © 2006 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/83119
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.977
References

 

DC FieldValueLanguage
dc.contributor.authorChan, SCen_HK
dc.contributor.authorFan, STen_HK
dc.date.accessioned2010-09-06T08:37:14Z-
dc.date.available2010-09-06T08:37:14Z-
dc.date.issued2006en_HK
dc.identifier.citationTransplantation Reviews, 2006, v. 20 n. 1, p. 34-40en_HK
dc.identifier.issn0955-470Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/83119-
dc.description.abstractThe extension of live donor liver transplantation (LDLT) from children to adults went in parallel with the shift from using the left-liver graft to the right. Donor right hepatectomy, being a more major procedure, only intensifies the ethical controversy, which is central to LDLT. Since its debut in 1996, right-liver adult-to-adult LDLT has gone through a number of technical innovations and refinements based on constant review of outcomes and study of the relevant pathophysiology. To achieve unimpeded graft venous outflow, the middle hepatic vein was universally included and underwent venoplasty with the right hepatic vein before anastomosis with the recipient inferior vena cava. Donor safety was never compromised and was acquired by preservation of segment 4b hepatic vein in the remnant left lobe. Venovenous bypass, which was associated with adverse outcomes, is no longer used. Early restoration of the circulation through the inferior vena cava was made possible by release of the clamps to the latter before portal vein anastomosis. Through judicious use of the procedure, which was executed with a high degree of precision, using right-liver grafts more than 35% of the estimated liver mass, a 1-year recipient survival of more than 90% is achievable in our series. © 2006 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/trreen_HK
dc.relation.ispartofTransplantation Reviewsen_HK
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in Transplantation Reviews. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in PUBLICATION, [VOL 20, ISSUE 1, 2006] DOI 10.1016/j.trre.2006.02.003-
dc.titleRight liver adult-to-adult live donor liver transplantation in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0955-470X&volume=20&issue=1&spage=34&epage=40&date=2006&atitle=Right+liver+adult-to-adult+live+donor+liver+transplantation+in+Hong+Kongen_HK
dc.identifier.emailChan, SC: chanlsc@hkucc.hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityChan, SC=rp01568en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.trre.2006.02.003en_HK
dc.identifier.scopuseid_2-s2.0-33645889637en_HK
dc.identifier.hkuros119598en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33645889637&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume20en_HK
dc.identifier.issue1en_HK
dc.identifier.spage34en_HK
dc.identifier.epage40en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, SC=7404255575en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK

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