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Titolo:
Right hepatic lobectomy as a liver graft-saving procedure
Autore:
Honore, P; Detry, O; Hamoir, E; Defechereux, T; Detroz, B; Meurisse, M; Jacquet, N;
Indirizzi:
Univ Liege, Univ Hosp Sart Tilman, Dept Liver Surg & Transplantat, Liege, Belgium Univ Liege Liege Belgium Dept Liver Surg & Transplantat, Liege, Belgium
Titolo Testata:
LIVER TRANSPLANTATION
fascicolo: 3, volume: 7, anno: 2001,
pagine: 269 - 273
SICI:
1527-6465(200103)7:3<269:RHLAAL>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
REGENERATION; REVASCULARIZATION; RETRANSPLANTATION; TRANSPLANTATION; CYCLOSPORINE; THROMBOSIS; RECIPIENT; LARGER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Detry, O CHU Sart Tilman B35, Dept Liver Surg & Transplantat, B-4000 Liege, Belgium CHU Sart Tilman B35 Liege Belgium B-4000 B-4000 Liege, Belgium
Citazione:
P. Honore et al., "Right hepatic lobectomy as a liver graft-saving procedure", LIVER TRANS, 7(3), 2001, pp. 269-273

Abstract

Retransplantation is common after liver transplantation (LT). However, in the present era of organ shortages, every attempt to save the liver graft should be performed before considering retransplantation. We report our experience with right hepatic lobectomy (RHL) for liver graft salvage. In a retrospective series of 180 adult LTs, 4 patients underwent RHL (Couinaud's segments V, VI, VII, VIII) in the post-LT period. In all cases, the procedurewas performed without Pringle's maneuver or mobilization of the left liverlobe to preserve its vascularization. Three liver graft recipients developed intrahepatic biliary strictures, mainly localized to the right lobe of the graft, and RHL was performed 14, 75, and 78 months after LT. These patients were alive at last follow-up without further episodes of cholangitis orretransplantation (mean followup, 38 months). The fourth patient developedearly post-LT right liver necrosis with a functioning hepatic artery and underwent right lobectomy 48 hours after LT. He later developed cholangitis secondary to late hepatic artery thrombosis, requiring retransplantation after 18 months. We conclude that RHL can be considered a graft-saving optionin selected liver transplant recipients with localized biliary strictures,with excellent patient and graft survival.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 08:54:51