دورية أكاديمية
Liver Transplant From a Donor With Situs Inversus Totalis Using Orthotopic and Retroversus Technique: A Case Report.
| العنوان: | Liver Transplant From a Donor With Situs Inversus Totalis Using Orthotopic and Retroversus Technique: A Case Report. |
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| المؤلفون: | Reimondez S; Hospital Privado Universitario de Córdoba, Córdoba, Argentina., Alcaraz Á; Hospital Privado Universitario de Córdoba, Córdoba, Argentina., Giordano Segade E; Hospital Privado Universitario de Córdoba, Córdoba, Argentina., Agüero Ramaccioni N; Hospital Privado Universitario de Córdoba, Córdoba, Argentina., Casarez Díaz G; Hospital Privado Universitario de Córdoba, Córdoba, Argentina., Maraschio MA; Hospital Privado Universitario de Córdoba, Córdoba, Argentina. Electronic address: mmaraschio@gmail.com. |
| المصدر: | Transplantation proceedings [Transplant Proc] 2019 Mar; Vol. 51 (2), pp. 585-588. Date of Electronic Publication: 2018 Dec 12. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Inc Country of Publication: United States NLM ID: 0243532 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2623 (Electronic) Linking ISSN: 00411345 NLM ISO Abbreviation: Transplant Proc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, N.Y. : Elsevier Science Inc. Original Publication: New York Stratton. |
| مواضيع طبية MeSH: | Situs Inversus* , Tissue Donors*, Liver/*abnormalities , Liver Transplantation/*methods, Aged ; Humans ; Male |
| مستخلص: | Situs inversus totalis is an infrequent genetic malformation affecting 0.01% of the population and consists of the total rotation of the organs 180 degrees, generating the so-called mirror-image reversal. For many years donors with this pathology were discouraged from organ donation. We present a case of hepatic and renal transplantation using the 2 techniques described, orthotopic and retroversus. The recipient was a 69-year-old man with end-stage liver and kidney disease due to alcoholism and diabetes, respectively, and a Model for End-Stage Liver Disease score of 32. There was no mismatch between recipient and donor. The implant started with the piggy-back technique using the retroversus technique, generating a tense portal vein anastomosis due to the superior situation of the elements of the hepatic hilum, so it was decided to undo suprahepatic anastomosis with the orthotopic technique, rotating the liver on its axis, without complications. Roux-en-Y hepaticojejunoanastomosis was carried out. The patient was discharged 15 days after surgery with normalization of renal function. Although both techniques must be taken into account, the one that fits best for a particular recipient should be used, given the particularities of size and shape of the liver graft. This can take some art and creativity from the surgical team. (Copyright © 2018 Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20190319 Date Completed: 20190514 Latest Revision: 20190514 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1016/j.transproceed.2018.12.002 |
| PMID: | 30879595 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-2623 |
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| DOI: | 10.1016/j.transproceed.2018.12.002 |