Clinical relevance of adapting portal vein flow in living donor liver transplantation in adult patients
Authors:
- 1 September 2003
- journal article
- clinical trial
- Published by Wolters Kluwer Health in Liver Transplantation
- Vol. 9 (9) , S36-S41
Abstract
Size mismatching is a major concern in adult living donor liver transplantation (ALDLT). Graft hyperperfusion in these grafts is considered the main factor leading to graft dysfunction and poor survival. We describe the clinical significance of graft inflow modification (GIM) by splenic artery ligation in a series of 24 consecutive ALDLT. Between September 1999 and December 2001, 24 patients underwent ALDLT at our institution. Patients were divided into two groups: G1, n = 11 without GIM, and G2, n = 13 with GIM. Both groups were equivalent in terms of preoperative clinical state, graft characteristics, and surgical technique. Graft hyperperfusion was noticed overall, especially in small grafts (graft-to-recipient body weight ratio Liver Transpl 2003;9:S36-S41.)Keywords
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