How transplant surgeons can overcome the inevitable insufficiency of allograft size during adult living-donor liver transplantation: strategy for donor safety with a smaller-size graft and excellent recipient results

Small‐for‐size grafts are an issue in liver transplantation. Portal venous pressure (PVP) was monitored and intentionally controlled during living‐donor liver transplantation (LDLT) in 155 adult recipients. The indocyanine green elimination rate (kICG) was simultaneously measured in 16 recipients an...

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Bibliographic Details
Published in:Clinical transplantation 2012-05, Vol.26 (3), p.E324-E334
Main Authors: Hori, Tomohide, Ogura, Yasuhiro, Ogawa, Kohei, Kaido, Toshimi, Segawa, Hajime, Okajima, Hideaki, Kogure, Takayuki, Uemoto, Shinji
Format: Article
Language:English
Subjects:
Adult
Female
Follow-Up Studies
Graft Survival
graft/recipient weight ratio
Humans
liver transplantation
Liver Transplantation - mortality
Liver Transplantation - pathology
Living Donors - supply & distribution
Male
Middle Aged
Organ Size
Patient Selection
portal hypertension
Portal Pressure
Portal Vein - surgery
Postoperative Complications
Prognosis
Retrospective Studies
Risk Factors
shear stress
small-for-size
Splenectomy
Survival Rate
Transplantation, Homologous
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Summary:Small‐for‐size grafts are an issue in liver transplantation. Portal venous pressure (PVP) was monitored and intentionally controlled during living‐donor liver transplantation (LDLT) in 155 adult recipients. The indocyanine green elimination rate (kICG) was simultaneously measured in 16 recipients and divided by the graft weight (g) to reflect portal venous flow (PVF). The target PVP was
ISSN:0902-0063
1399-0012
DOI:10.1111/j.1399-0012.2012.01664.x