دورية أكاديمية
Technical aspects and outcomes of living donor liver transplantation for pediatric patients with situs inversus.
| العنوان: | Technical aspects and outcomes of living donor liver transplantation for pediatric patients with situs inversus. |
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| المؤلفون: | Vincenzi R; Sirio-Libanes Hospital/A. C. Camargo Hospital, São Paulo, Brazil., Seda-Neto J, Fonseca EA, Ketzer BM, Benavides M, Cândido HL, Porta G, Miura IK, Pugliese R, Danesi VB, Guimaraes TC, Porta A, Borges CB, Kondo M, Chapchap P |
| المصدر: | Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society [Liver Transpl] 2013 Apr; Vol. 19 (4), pp. 431-6. Date of Electronic Publication: 2013 Mar 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 100909185 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-6473 (Electronic) Linking ISSN: 15276465 NLM ISO Abbreviation: Liver Transpl Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Philadelphia] : Wolters Kluwer Health, Inc. Original Publication: Philadelphia, PA : W.B. Saunders Co., c2000- |
| مواضيع طبية MeSH: | Living Donors* , Vascular Grafting*/adverse effects, Biliary Atresia/*surgery , Liver Transplantation/*methods , Situs Inversus/*surgery , Vascular Malformations/*surgery, Age Factors ; Biliary Atresia/complications ; Female ; Hepatic Artery/abnormalities ; Hepatic Artery/surgery ; Humans ; Infant ; Liver Transplantation/adverse effects ; Male ; Portal Vein/abnormalities ; Portal Vein/surgery ; Retrospective Studies ; Situs Inversus/complications ; Treatment Outcome ; Vascular Malformations/complications ; Vena Cava, Inferior/abnormalities ; Vena Cava, Inferior/surgery |
| مستخلص: | The vascular anomalies encountered in patients with biliary atresia associated with polysplenia syndrome and situs inversus (SI) demand technical refinements when liver transplantation is being performed. The available data describing the technique used in living donor liver transplantation (LDLT) in this population are limited; the short vascular stumps of the donor's liver can impart additional technical difficulties during vascular reconstruction. Here we describe our experience with 9 children with biliary atresia and SI who underwent LDLT. In our series, the retrohepatic vena cava was absent for 7 patients, 7 had a preduodenal portal vein (PV), and 4 had a variant arterial anatomy. The donor's left hepatic vein was anastomosed to the confluence of the recipient's 3 hepatic veins in 7 patients. Vascular grafts were used for PV reconstruction in 3 cases. A left lateral segment graft was used in all but 1 patient who needed a graft reduction. All grafts were placed in the upper left abdomen. There were no vascular complications after transplantation. All patients were alive and well at a median follow-up of 55 months. In conclusion, LDLT can be successfully performed in pediatric patients with SI. Complex vascular anomalies associated with the use of partial liver grafts obtained from living donors are not associated with an increased occurrence of vascular complications. (Copyright © 2013 American Association for the Study of Liver Diseases.) |
| تواريخ الأحداث: | Date Created: 20130301 Date Completed: 20130913 Latest Revision: 20130328 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1002/lt.23611 |
| PMID: | 23447137 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1527-6473 |
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| DOI: | 10.1002/lt.23611 |