Cited 4 times in
Right anterior section graft for living-donor liver transplantation: A case report
DC Field | Value | Language |
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dc.contributor.author | 김명수 | - |
dc.contributor.author | 이재근 | - |
dc.contributor.author | 정윤빈 | - |
dc.contributor.author | 최기홍 | - |
dc.date.accessioned | 2019-07-11T03:10:46Z | - |
dc.date.available | 2019-07-11T03:10:46Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/169866 | - |
dc.description.abstract | RATIONALE: In living-donor liver transplantation (LDLT), the right lobe graft is commonly utilized to prevent small-for-size syndrome, despite the considerable donor morbidity. Conversely, the feasibility of the left lobe graft and the right posterior section graft in smaller-sized recipients is now commonly employed with comparable outcomes to right lobe grafts. The efficacy of the right anterior section graft has rarely been reported. PATIENT CONCERNS: A 56-year-old man, a heavy alcoholic beverage drinker for 20 years, presented in the emergency department with massive ascites and lethargy. He was previously admitted twice due to bleeding esophageal varices. DIAGNOSIS: He was diagnosed with hepatic encephalopathy coma due to alcoholic liver cirrhosis. The Child-Turcotte-Pugh score was 11 (class C), and the Model for End-stage Liver Disease score was 21.62. INTERVENTION: A LDTL was offered to the patient as the best treatment option available. The patient's 26-year-old son was found to be the only donor-compatible candidate for the LDTL.Preoperatively, the right lobe of the donor occupied 76.2% of the total liver volume exposing the donor to a small residual liver volume. The right posterior section and left lobe volumes were insufficient, providing a graft-to-recipient weight ratio of 0.42% and 0.38%, respectively. However, the right anterior section could fulfill an acceptable GRWR of 0.83%. Thus, a living donor right anterior sectionectomy was performed. OUTCOMES: Clinical signs and symptoms and liver function improved following anterior section graft transplantation without complications. LESSON: The procurement of anterior section graft is technically feasible in selected patients, especially in high-volume liver centers. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Alcoholism/complications | - |
dc.subject.MESH | Family | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver/diagnostic imaging | - |
dc.subject.MESH | Liver/surgery | - |
dc.subject.MESH | Liver Cirrhosis, Alcoholic/diagnostic imaging | - |
dc.subject.MESH | Liver Cirrhosis, Alcoholic/surgery* | - |
dc.subject.MESH | Liver Transplantation*/methods | - |
dc.subject.MESH | Living Donors* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.title | Right anterior section graft for living-donor liver transplantation: A case report | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Jonathan Geograpo Navarro | - |
dc.contributor.googleauthor | Gi Hong Choi | - |
dc.contributor.googleauthor | Myoung Soo Kim | - |
dc.contributor.googleauthor | Yoon Bin Jung | - |
dc.contributor.googleauthor | Jae Geun Lee | - |
dc.identifier.doi | 10.1097/MD.0000000000015212 | - |
dc.contributor.localId | A00424 | - |
dc.contributor.localId | A03068 | - |
dc.contributor.localId | A05036 | - |
dc.contributor.localId | A04046 | - |
dc.relation.journalcode | J02214 | - |
dc.identifier.eissn | 1536-5964 | - |
dc.identifier.pmid | 31083154 | - |
dc.contributor.alternativeName | Kim, Myoung Soo | - |
dc.contributor.affiliatedAuthor | 김명수 | - |
dc.contributor.affiliatedAuthor | 이재근 | - |
dc.contributor.affiliatedAuthor | 정윤빈 | - |
dc.contributor.affiliatedAuthor | 최기홍 | - |
dc.citation.volume | 98 | - |
dc.citation.number | 19 | - |
dc.citation.startPage | e15212 | - |
dc.identifier.bibliographicCitation | MEDICINE, Vol.98(19) : e15212, 2019 | - |
dc.identifier.rimsid | 62017 | - |
dc.type.rims | ART | - |
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