Intraoperative abortion of adult living donor liver transplantation = 15 cases from 1,179 cases in 20 years of experience in a single center

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to report intraoperative abortion of adult living donor liver transplantation (LDLT).
Methods: From June 1997 to December 2016, 1,179 adult LDLT cases were performed. 15 cases (1.3%) of intraoperative abortions in LDLT were described.
Results: Among 15 cases, 5 intraoperative abortions were donor-related, and remaining 10 cases were recipient-related. All donor-related abortions were due to unexpected steatohepatitis. Among remaining 10 recipient-related intraoperative abortions, unexpected extension of hepatocellular carcinoma was related in 5 cases. Two cases of intraoperative abortions were related to bowel inflammation, and 2 cases were associated with severe adhesion related to previous treatment. One recipient with severe pulmonary hypertension was also aborted.
Conclusion: Complete prevention of aborted LDLT is still not feasible. In this regard, further efforts to minimize intraoperative abortion are required.

목차 (Table of Contents)

• INTRODUCTION
• METHODS
• RESULTS
• DISCUSSION
• REFERENCES

참고문헌 (Reference)

1 Jonas S, "Vascular invasion and histopathologic grading determine outcome after liver transplantation for hepatocellular carcinoma in cirrhosis" 33 : 1080-1086, 2001

2 McCormack L, "Use of severely steatotic grafts in liver transplantation: a matched case-control study" 246 : 940-946, 2007

3 Sasso M, "The controlled attenuation parameter (CAP): a novel tool for the non-invasive evaluation of steatosis using Fibroscan" 36 : 13-20, 2012

4 Dahm F, "Smallfor-size syndrome after partial liver transplantation: definition, mechanisms of disease and clinical implications" 5 : 2605-2610, 2005

5 Ramsay MA, "Severe pulmonary hypertension in liver transplant candidates" 3 : 494-500, 1997

6 Shah SA, "Reduced mortality with right-lobe living donor compared to deceased-donor liver transplantation when analyzed from the time of listing" 7 : 998-1002, 2007

7 Song GW, "Preoperative evaluation of biliary anatomy of donor in living donor liver transplantation by conventional nonenhanced magnetic resonance cholangiography" 20 : 167-173, 2007

8 Basaran C, "MR cholangiopancreatography with T2-weighted prospective acquisition correction turbo spin-echo sequence of the biliary anatomy of potential living liver transplant donors" 190 : 1527-1533, 2008

9 Kaihara S, "Living-donor liver transplantation for hepatocellular carcinoma" 75 (75): S37-S40, 2003

10 Kawasaki S, "Living related liver transplantation in adults" 227 : 269-274, 1998

11 Mazzaferro V, "Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis" 334 : 693-699, 1996

12 Cillo U, "Liver transplantation for the treatment of moderately or well-differentiated hepatocellular carcinoma" 239 : 150-159, 2004

13 Ravaioli M, "Liver transplantation for hepatocellular carcinoma: further considerations on selection criteria" 10 : 1195-1202, 2004

14 Yao FY, "Liver transplantation for hepatocellular carcinoma: expansion of the tumor size limits does not adversely impact survival" 33 : 1394-1403, 2001

15 Guba M, "Intraoperative 'no go' donor hepatectomies in living donor liver transplantation" 10 : 612-618, 2010

16 Kim AY, "Hepatobiliary MRI as novel selection criteria in liver transplantation for hepatocellular carcinoma" 68 : 1144-1152, 2018

17 Kwon CH, "HCC in living donor liver transplantation: can we expand the Milan criteria?" 25 : 313-319, 2007

18 Soejima Y, "Extended indication for living donor liver transplantation in patients with hepatocellular carcinoma" 83 : 893-899, 2007

19 Shin M, "Donor morbidity including biliary complications in livingdonor liver transplantation: single-center analysis of 827 cases" 93 : 942-948, 2012

20 Colle IO, "Diagnosis of portopulmonary hypertension in candidates for liver transplantation: a prospective study" 37 : 401-409, 2003

21 Nakamura T, "Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases" 73 : 1896-1903, 2002

22 Taourel P, "Anatomic variants of the biliary tree: diagnosis with MR cholangiopancreatography" 199 : 521-527, 1996

23 Gondolesi GE, "Adult living donor liver transplantation for patients with hepatocellular carcinoma: extending UNOS priority criteria" 239 : 142-149, 2004