Feasibility of left lobe living donor liver transplantation between adults: An 8-year, single-center experience of 107 cases

Y. Soejima, A. Taketomi, T. Yoshizumi, H. Uchiyama, N. Harada, H. Ijichi, Y. Yonemura, M. Shimada, Y. Maehara

研究成果: ジャーナルへの寄稿学術誌査読

129 被引用数 (Scopus)

抄録

Operative mortality for a right lobe (RL) donor in adult living donor liver transplantation (LDLT) is estimated to be as high as 0.5-1%. To minimize the risk to the donor, left lobe (LL)-LDLT might be an ideal option in adult LDLT. The aim of the study was to assess the feasibility of LL-LDLT between adults based on a single-center experience of 107 LL-LDLTs performed over 8 years. The mean graft weight of LL grafts was 452 g, which amounted to 40.5% of the estimated standard liver volume of the recipients. The overall 1-, 3- and 5-year patient survival rates in LL-LDLT were 81.4, 76.9 and 74.7%, respectively, which were comparable to those of RL-LDLT. Twenty-six grafts (24.3%) were lost for various reasons with three losses directly attributable to small-for-size graft syndrome. Post-operative liver function and hospital stay in LL donors were significantly better and shorter than that in RL donors, while the incidence of donor morbidity was comparable between LL and RL donors. In conclusion, LL-LDLT was found to be a feasible option in adult-to-adult LDLT. Further utilization of LL grafts should be undertaken to keep the chance of donor morbidity and mortality minimal.

本文言語英語
ページ(範囲)1004-1011
ページ数8
ジャーナルAmerican Journal of Transplantation
6
5 I
DOI
出版ステータス出版済み - 5月 2006

!!!All Science Journal Classification (ASJC) codes

  • 免疫アレルギー学
  • 移植
  • 薬理学(医学)

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