Background Data describing the technical aspects of living donor domino liver transplantation (LD-DLT) in maple syrup urine disease (MSUD) are limited. The largest published series includes only 3 cases. One great challenge of this procedure is to ensure adequate vascular stumps for the living donor, the MSUD patient, and the recipient of the domino graft. Here, we describe our experience in 11 cases of LD-DLT in MSUD, highlighting the technical aspects of LD-DLT. Methods From September 2012 to September 2017, 11 patients with MSUD underwent LDLT at our institution, and MSUD livers were used as domino grafts in 11 children. Results:1- MSUD patients Ten patients received a left lateral segment. The donor's left hepatic vein was anastomosed to the confluence of the recipient's 3 hepatic veins (HV). No venous grafts (VG) were required for portal vein (PV) anastomosis. Single arterial anastomosis was performed with microsurgery in 10 out of 11 patients. 2- MSUD graft recipients In 8 cases, HV reconstruction was performed between the graft's HV confluence and the recipient's HV confluence, and in 3 cases, a vena cava triangulation was necessary; 6 MSUD grafts required HV venoplasty. No VG were needed for HV reconstruction. VG were used for PV reconstruction in 3 cases due to sclerotic PV. In 2 cases, double arterial anastomoses were performed in the MSUD liver. All patients remain alive and well. Conclusion LDLT followed by DLT for MSUD is a complex procedure and demands technical refinement. Special attention must be paid to vascular reconstruction. Corresponding author: Joao Seda Neto, MD, PhD, Hospital Sirio-Libanes/Hospital A. C. Camargo, Rua Barata Ribeiro, 414, cj 65, Bela Vista, 01308-000, Sao Paulo, Brazil. Phone number: 55-11-32310800 Fax number: 55-11-32310900. E-mail: joaoseda@gmail.com Authorship Statements Concept/design: Roda KMO, Vincenzi R, Seda-Neto J Drafting of the article: Roda KMO, Vincenzi R, Seda-Neto J Critical revision of the article: Seda-Neto J, Vincenzi R, Fonseca EA, Chapchap P Data analysis/Data collection: Pugliese R, Miura IK, Benavides MR, Turine P, Afonso RC Schwartz I, Tonon T, Porta G Final approval: Seda-Neto J Disclosure No conflicts of interest exist. Funding No financial support was received. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
https://ift.tt/2kBOWtK
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
▼
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
-
▼
Μαΐου
(3439)
-
▼
Μαΐ 30
(131)
- Obturators versus flaps after maxillary oncologica...
- Unravelling the molecular signatures in HNSCC: Is ...
- Targeting myeloid-derived suppressor cells for can...
- An independent relation of atopic dermatitis to ex...
- Interleukin 17A exacerbates ER-stress-mediated inf...
- Seafood allergy: A comprehensive review of fish an...
- Helminth-induced regulatory T cells and suppressio...
- Dendritic cells, T cells and lymphatics: dialogues...
- Pediatric Residents’ Assessment of Atopic Dermatit...
- Development of Food Protein-Induced Enterocolitis ...
- Pilot study of the CAPS (Clinical extent, Area, Pr...
- Different Treatments With the TRV Reposition Chair
- Audit of the Spanish EURECCA Esophagogastric Cance...
- Thykamine Safety and Efficacy Study in Mild-to-Mod...
- ctDNA as a Biomarker for Treatment Response in HNSCC
- Re: “High Thyroid Cancer Mortality Rate in Japan: ...
- No-Scar Transoral Thyroglossal Duct Cyst Excision ...
- The impact of cold on the respiratory tract and it...
- Reconstrucción de defectos orofaríngeos tras cirug...
- Monophasic Synovial Sarcoma of Tongue: A Rarest of...
- Robot Assisted Trans Axillary Thyroidectomy: A Sub...
- Successful treatment of primary bone marrow Hodgki...
- Bike Safety for the Whole Family
- Trichophyton erinacei Transmitted to a Pregnant Wo...
- Lentigo Maligna—Challenges, Observations, Imiquimo...
- Prevalence of Skin Cancer Examination Among Indoor...
- Lentigo Maligna Treated With Off-Label Neoadjuvant...
- Adolescents’ Perspectives on Atopic Dermatitis Tre...
- Multidisciplinary management of oculo-auriculo-ver...
- Deconstructive SCNT reveals novel Treg subsets
- Saturated fatty acids, obesity and the NLRP3 infla...
- Ketamine Anesthesia Does Not Improve Depression Sc...
- Epitope mapping and kinetics of CD4 T cell immunit...
- Tear Off the Masks: Identity and Imposture in Twen...
- Political knowledge: Measurement, misinformation a...
- The Saga of History 492: The Transformation of Wor...
- Flexible scintillator autoradiography for tumor ma...
- The link between interoceptive processing and anxi...
- How effective and cost-effective are behaviour cha...
- Sociolinguistics, translation and interpreting
- Changes in environmental tobacco smoke (ETS) expos...
- Diagnostic accuracy for the extent and activity of...
- Franchising the disenfranchised? The paradoxical s...
- Sequencing of prostate cancers identifies new canc...
- Visual attention mechanisms in happiness vs. trust...
- The behavioural variant frontotemporal dementia ph...
- Genome-wide association analyses identify 44 risk ...
- Socioeconomic segregation in secondary schools: ev...
- What Does a Red Meat Allergy Have to Do With Anest...
- Automated Assessment of Existing Patient’s Revised...
- Pain Medicine Board Review
- Assessing the Association Between Blood Loss and P...
- Phentolamine Reverses Epinephrine-Enhanced Skin An...
- Intraoperative Methadone in Same-Day Ambulatory Su...
- Mixing Studies in Patients With Prolonged Activate...
- Opening the Black Box: Understanding the Science B...
- Reversing Cholinergic Bronchoconstriction by Commo...
- The Effect of Labor Epidural Analgesia on Breastfe...
- Readiness for Discharge After Foot and Ankle Surge...
- In Response
- Opioid Use Disorders: Perioperative Management of ...
- The Use of Hydroxyethyl Starch 130/0.4 in Surgery ...
- Efficacy of Malignant Hyperthermia Association of ...
- TIP SHEET: Johns Hopkins Researchers Well Represen...
- Supraglottoplasty surgery types 1–3: A practical c...
- Is the evidence of local allergic rhinitis growing?
- Multidisciplinary management of oculo-auriculo-ver...
- Development and Assessment of a Transoral Robotic ...
- Follicular dendritic cell sarcoma presenting as a ...
- Maxillary sinus schwannoma
- Unusual presentation of Henöch-Schonlein purpura
- Toe walking after three: how serious could it be?
- A 3-month-old infant with atypical Kawasaki disease
- Denosumab causing severe, refractory hypocalcaemia...
- Subcutaneous oedema of upper limbs heralding an ag...
- Lactation ketoacidosis: case presentation and lite...
- Myeloid sarcoma of the small intestine in a patien...
- Left ventricular mural thrombus despite treatment ...
- Facilitated subcutaneous immunoglobulin treatment ...
- Congenital limb deficiency requiring transfemoral ...
- Renal cell carcinoma with sarcomatoid transformati...
- Giant cell lesion of the jaw as a presenting featu...
- Endometrial metastasis of primary malignant melano...
- Superior sagittal sinus thrombosis in a case of Mi...
- A chronic alcoholic man with high fever, neck rigi...
- Unusual case of cerebral demyelination and bilater...
- Scleral dellen following strabismus surgery
- Severe Babesia microti infection presenting as mul...
- Acute Kidney Injury after Liver Transplantation
- OPTICAL OR TRANSBRONCHIAL BIOPSY TO DIAGNOSE ACUTE...
- Donating Another Person’s Kidney: Avoiding the Dis...
- Diagnosis of Acute Cellular Rejection Using Probe-...
- Invited author's reply to "Optimal culture methods...
- Optimal culture methods and microbial contaminatio...
- Domino Liver Transplant in Maple Syrup Urine Disea...
- Hyperfiltration-mediated injury in the remaining k...
- A comparison of the incidence of supraventricular ...
- Safety of moderate-to-deep sedation performed by s...
- Validation of the Brief Developmental Assessment i...
- In Vivo Observation of Structural Changes in Neoco...
-
▼
Μαΐ 30
(131)
- ► Φεβρουαρίου (2693)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου