Selective hemi-portocaval shunt based on portal vein pressure for small-for-size graft in adult living donor liver transplantation

American Journal of Transplantation

Volumn 8, Issue 4, 2008, Pages 847-853

  Yamada, T ^a   Tanaka, K ^b   Uryuhara, K ^b   Ito, K ^b   Takada, Y ^a   Uemoto, S ^a  

^a KYOTO UNIVERSITY   (Japan)

^b KOBE CITY MEDICAL CENTER GENERAL HOSPITAL   (Japan)

Author keywords

Left lobe graft; Live donor transplantation; Portal pressure; Portosystemic shunt; Small for size graft; Small for size syndrome

Indexed keywords

ADULT; ALGORITHM; ARTICLE; CLINICAL ARTICLE; FEMALE; FOLLOW UP; GRAFT PATENCY; GRAFT REJECTION; GRAFT SURVIVAL; GRAFT TO RECIPIENT WEIGHT RATIO; HEMIPORTOCAVAL SHUNT; HUMAN; LAPAROTOMY; LIVER TRANSPLANTATION; LIVER WEIGHT; LIVING DONOR; MALE; PATIENT SELECTION; PORTAL VEIN BLOOD PRESSURE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SCORING SYSTEM; SMALL FOR SIZE SYNDROME; SURGICAL TECHNIQUE; VEIN GRAFT;

ADULT; AGED; ALGORITHMS; BLOOD PRESSURE; BODY WEIGHT; FEMALE; HUMANS; LIVER; LIVING DONORS; MALE; MIDDLE AGED; PATIENT SELECTION; PORTACAVAL SHUNT, SURGICAL; PORTAL VEIN; RETROSPECTIVE STUDIES;

EID: 40449126546     PISSN: 16006135     EISSN: 16006143     Source Type: Journal    
DOI: 10.1111/j.1600-6143.2007.02144.x     Document Type: Article

References (34)

1. Lo CM, Fan ST, Liu CL et al. Adult-to-adult living donor liver transplantation using extended right lobe grafts. Ann Surg 1997 226 : 261 269.
2. Marcos A, Fisher RA, Ham JM et al. Right lobe living donor liver transplantation. Transplantation 1999 68 : 798 803.
3. Inomata Y, Uemoto S, Asonuma K, Egawa H. Right lobe graft in living donor liver transplantation. Transplantation 2000 69 : 258 264.
4. Brown RS Jr., Russo MW, Lai M et al. A survey of liver transplantation from living adult donors in the United States. N Engl J Med 2003 348 : 818 825.
5. Umeshita K, Fujiwara K, Kiyosawa K et al. Operative morbidity of living liver donors in Japan. Lancet 2003 362 : 687 690.
6. Sugawara Y, Kaneko J, Akamatsu N et al. Left liver grafts for patients with MELD score of less than 15. Transplant Proc 2003 35 : 1433 1434.
7. Soejima Y, Taketomi A, Yoshizumi T et al. Feasibility of left lobe living donor liver transplantation between adults: An 8-year, single-center experience of 107 cases. Am J Transplant 2006 6 : 1004 1011.
8. Tanaka K, Ogura Y. "Small-for-size graft" and "small-for-size syndrome" in living donor liver transplantation. Yonsei Med J 2004 45 : 1089 1094.
9. Emond JC, Renz JF, Ferrell LD et al. Functional analysis of grafts from living donors. Implications for the treatment of older recipients. Ann Surg 1996 224 : 544 552.
10. Tucker ON, Heaton N. The 'small for size' liver syndrome. Curr Opin Crit Care 2005 11 : 150 155.
11. Kiuchi T, Kasahara M, Uryuhara K et al. Impact of graft size mismatching on graft prognosis in liver transplantation from living donors. Transplantation 1999 67 : 321 327.
12. Troisi R, Cammu G, Militerno G et al. Modulation of portal graft inflow: A necessity in adult living-donor liver transplantation? Ann Surg 2003 237 : 429 436.
13. Ito T, Kiuchi T, Yamamoto H et al. Changes in portal venous pressure in the early phase after living donor liver transplantation: Pathogenesis and clinical implications. Transplantation 2003 75 : 1313 1317.
14. Sato Y, Yamamoto S, Oya H et al. Splenectomy for reduction of excessive portal hypertension after adult living-related donor liver transplantation. Hepatogastroenterology 2002 49 : 1652 1655.
15. Boillot O, Delafosse B, Mechet I, Boucaud C, Pouyet M. Small-for-size partial liver graft in an adult recipient; A new transplant technique. Lancet 2002 359 : 406 407.
16. Troisi R, Ricciardi S, Smeets P et al. Effects of hemi-portocaval shunts for inflow modulation on the outcome of small-for-size grafts in living donor liver transplantation. Am J Transplant 2005 5 : 1397 1404.
17. Wang HS, Ohkohchi N, Enomoto Y et al. Excessive portal flow causes graft failure in extremely small-for-size liver transplantation in pigs. World J Gastroenterol 2005 11 : 6954 6959.
18. Takada Y, Ueda M, Ishikawa Y et al. End-to-side portocaval shunting for a small-for-size graft in living donor liver transplantation. Liver Transpl 2004 10 : 807 810.
19. Harms J, Bourquain H, Bartels M et al. Surgical impact of computerized 3D CT-based visualizations in living donor liver transplantation. Surg Technol Int 2004 13 : 191 195.
20. Sakamoto S, Uemoto S, Uryuhara K et al. Graft size assessment and analysis of donors for living donor liver transplantation using right lobe. Transplantation 2001 71 : 1407 1413.
21. Ueda M, Inomata Y. Surgical Procedure for Left Lateral Segmentectomy and Left Lobectomy. Surgical Procedure for Right Lobectomy. In : Tanaka K, Inomata Y, Kaihara S (eds). Living-Donor Liver Transplantation. Barcelona : Prous Science 2003 : 33 57.
22. Felix D, Panco G, Pierre-Alain C. Small-for-size syndrome after partial liver transplantation: Definition, mechanisms of disease and clinical implications. Am J Transplant 2005 5 : 2605 2610.
23. Trotter JF, Adam R, Lo CM, Kenison J. Documented deaths of hepatic lobe donors for living donor liver transplantation. Liver Transpl 2006 12 : 1485 1488.
24. Heaton N. Small-for-size liver syndrome after auxiliary and split liver transplantation: Donor selection. Liver Transpl 2003 9 : S26 S28.
25. Yagi S, Iida T, Hori T et al. Optimal portal venous circulation for liver graft function after living-donor liver transplantation. Transplantation 2006 81 : 373 378.
26. Sato Y, Yamamoto S, Takeishi T et al. Management of major portosystemic shunting in small-for-size adult living-related donor liver transplantation with a left-sided graft liver. Surg Today 2006 36 : 354 360.
27. Ku Y, Fukumoto T, Nishida T et al. Evidence that portal vein decompression improves survival of canine quarter orthotopic liver transplantation. Transplantation 1995 59 : 1388 1392.
28. Kelly DM, Demetris AJ, Fung JJ et al. Porcine partial liver transplantation: A novel model of the "small-for-size" liver graft. Liver Transpl 2004 10 : 253 263.
29. Ben-Haim M, Emre S, Fishbein TM et al. Critical graft size in adult-to-adult living donor liver transplantation: Impact of the recipient's disease. Liver Transpl 2001 7 : 948 953.
30. Nakamura T, Tanaka K, Kiuchi T et al. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: Lessons from 120 cases. Transplantation 2002 73 : 1896 1903.
31. Gyu Lee S, Min Park K, Hwang S et al. Modified right liver graft from a living donor to prevent congestion. Transplantation 2002 74 : 54 59.
32. Maetani Y, Itoh K, Egawa H et al. Factors influencing liver regeneration following living-donor liver transplantation of the right hepatic lobe. Transplantation 2003 75 : 97 102.
33. Gerling T. The Role of an Organ Exchange Organization in Increasing Split-liver Transplantation. In : Cecka JM, Terasaki PI (eds). Clinical Transplants. Los Angeles, CA : UCLA Immunogenetics Center 2004 : 83 90.
34. Azoulay D, Castaing D, Adam R et al. Split-liver transplantation for two adult recipients: Feasibility and long-term outcomes. Ann Surg 2001 233 : 565 574.