教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読なし |
表題 | Portal vein reconstruction using vein grafts in pediatric living donor liver transplantation: Current status |
掲載誌名 | 正式名:Pediatric transplantation 略 称:Pediatr Transplant ISSNコード:1399-3046(Electronic)1397-3142(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 21(3),pp.e12888-94 |
著者・共著者 | Sabra Tarek Abdelazeem, Okajima Hideaki, Yoshizawa Atsushi, Okamoto Tatsuya, Anazawa Takayuki, Ygi Shintaro, Hata Koichiro, Yasuchika Kentaro, Taura Kojiro, Hatano Etsuro, Kaido Toshimi, Uemoto Shinji |
発行年月 | 2017/05 |
概要 | PV reconstruction is an important aspect of LDLT, with post-transplant outcomes depending on PV reconstruction methods. However, it is unclear whether the preferential selection of these techniques is dependent on preoperative recipient characteristics. This retrospective study assessed whether preoperative recipient factors differed in pediatric patients who did and did not receive VGs for PV reconstruction. Of 113 pediatric patients who underwent LDLT from January 2010 to July 2015, 31 (27%) underwent PV reconstruction with VGs and the other 82 (73%) without VGs. The presence of collateral vessels (P<.0001) and ascites (P=.02); PV size (P<.001), thrombosis (P=.01) and the direction of flow (P=.01), Child-Pugh class A vs B/C liver function (P=.01), Alb concentration (P=.02), primary diagnosis: BA vs non-BA (P=.03), and previous abdominal surgery (P<.005) differed significantly in patients who did and did not receive VGs for PV reconstruction. PV complications, patient survival, and graft survival did not differ significantly in patients with and without VGs at 1-year follow-up. VGs should be harvested for recipients with pretransplant hypoplastic PV, intense collaterals, hepatofugal flow, poor liver status, or previous abdominal surgery. |
DOI | 10.1111/petr.12888 |
PMID | 28111865 |