Donor Risk in Adult-to-Adult Living Donor Liver Transplantation: Impact of Left Lobe Graft

Donor Risk in Adult-to-Adult Living Donor Liver Transplantation: Impact of Left Lobe Graft
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DOI:
10.1097/tp.0b013e3181943d46
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发表时间:
2009-02-15
期刊:
影响因子:
6.2
通讯作者:
Maehara, Yoshihiko
Maehara, Yoshihiko
中科院分区:
医学2区
文献类型:
--
作者:
Taketomi, Akinobu;Kayashima, Hiroto;Maehara, Yoshihiko

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背景为保证成人间活体肝移植供肝的安全性,建立了以肝左叶为首选供肝的供体选择标准。对206名连续供体进行了回顾性研究。供体按移植类型分为两组:LL移植组(n=137)和右叶(RL)移植组(n=69)。尽管LL的平均术中失血量显著高于RL,但LL的平均术后总胆红素峰值水平和术后住院时间显著低于RL(P
Background. To ensure donor safety in adult-to-adult living donor liver transplantation, we established a selection criterion for donors in which left lobe (LL) was the first choice of graft.Methods. Two hundred six consecutive donors were retrospectively studied. Donors were divided into two groups according to graft type: LL graft (n=137) and right lobe (RL) graft (n=69).Results. Although mean intraoperative blood loss of LL was significantly increased compared with RL, mean peak postoperative total bilirubin levels and duration of hospital stay after surgery were significantly less for LL than RL (P