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Article: Split liver transplantation for two adult recipients
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TitleSplit liver transplantation for two adult recipients
 
AuthorsFan, ST
Lo, CM
Liu, CL
Yong, BH
Chan, JKF
 
KeywordsSplit liver transplantation
 
Issue Date2003
 
PublisherHepato-Gastroenterology. The Journal's web site is located at http://www.thieme.de/hepato/index.html
 
CitationHepato-Gastroenterology, 2003, v. 50 n. 49, p. 231-234 [How to Cite?]
 
AbstractWe report a case of split liver transplantation for two adult recipients. The liver graft (1285g) was split on the backtable into a right lobe graft (900g, containing the inferior vena cava and middle hepatic vein) and a left lobe graft (385g). The right lobe graft was implanted into a patient with hepatitis B cirrhosis uneventfully. The left lobe graft was implanted into a patient with familial amyloid polyneuropathy, but was met with massive bleeding from the transection surface and congestion of segment 4. The dusky appearance of segment 4 disappeared after hepatic artery anastomosis, but Doppler ultrasonography showed reverse blood flow in the segment 4 portal vein. Both patients survived the operation. The case illustrated that a left lobe graft without the middle hepatic vein could be problematic. To benefit two adults with chronic liver diseases, a better design of hepatic vein drainage of segment 4 in the left lobe graft and segment 5 and 8 in the right lobe graft is required.
 
ISSN0172-6390
2012 Impact Factor: 0.774
2012 SCImago Journal Rankings: 0.363
 
ISI Accession Number IDWOS:000180878500054
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorFan, ST
 
dc.contributor.authorLo, CM
 
dc.contributor.authorLiu, CL
 
dc.contributor.authorYong, BH
 
dc.contributor.authorChan, JKF
 
dc.date.accessioned2010-09-06T08:42:56Z
 
dc.date.available2010-09-06T08:42:56Z
 
dc.date.issued2003
 
dc.description.abstractWe report a case of split liver transplantation for two adult recipients. The liver graft (1285g) was split on the backtable into a right lobe graft (900g, containing the inferior vena cava and middle hepatic vein) and a left lobe graft (385g). The right lobe graft was implanted into a patient with hepatitis B cirrhosis uneventfully. The left lobe graft was implanted into a patient with familial amyloid polyneuropathy, but was met with massive bleeding from the transection surface and congestion of segment 4. The dusky appearance of segment 4 disappeared after hepatic artery anastomosis, but Doppler ultrasonography showed reverse blood flow in the segment 4 portal vein. Both patients survived the operation. The case illustrated that a left lobe graft without the middle hepatic vein could be problematic. To benefit two adults with chronic liver diseases, a better design of hepatic vein drainage of segment 4 in the left lobe graft and segment 5 and 8 in the right lobe graft is required.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationHepato-Gastroenterology, 2003, v. 50 n. 49, p. 231-234 [How to Cite?]
 
dc.identifier.epage234
 
dc.identifier.hkuros77815
 
dc.identifier.isiWOS:000180878500054
 
dc.identifier.issn0172-6390
2012 Impact Factor: 0.774
2012 SCImago Journal Rankings: 0.363
 
dc.identifier.issue49
 
dc.identifier.openurl
 
dc.identifier.pmid12630029
 
dc.identifier.scopuseid_2-s2.0-0037266908
 
dc.identifier.spage231
 
dc.identifier.urihttp://hdl.handle.net/10722/83598
 
dc.identifier.volume50
 
dc.languageeng
 
dc.publisherHepato-Gastroenterology. The Journal's web site is located at http://www.thieme.de/hepato/index.html
 
dc.publisher.placeGreece
 
dc.relation.ispartofHepato-Gastroenterology
 
dc.relation.referencesReferences in Scopus
 
dc.subjectSplit liver transplantation
 
dc.titleSplit liver transplantation for two adult recipients
 
dc.typeArticle
 
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