Donor and recipient outcomes in right lobe adult living donor liver transplantation

Rafik M. Ghobrial, Sammy Saab, Charles Lassman, David S.K. Lu, Steven Raman, Piyagorn Limanond, Greg Kunder, Karyn Marks, Farin Amersi, Dean Anselmo, Pauline Chen, Douglas Farmer, Steven Han, Francisco Durazo, Leonard I. Goldstein, Ronald W. Busuttil – 30 December 2003 – Severe donor organ shortage has provided the impetus for adult living donor liver transplantation (ALDLT). Despite rapid implementation and expansion of the procedure, outcome analysis of ALDLT is still incomplete. This study analyzed both donor and recipient outcomes after ALDLT at a single center.

Liver transplantation for hepatocellular carcinoma: Analysis of survival according to the intention‐to‐treat principle and dropout from the waiting list

Francis Y. Yao, Nathan M. Bass, Bev Nikolai, Timothy J. Davern, Robert Kerlan, Victor Wu, Nancy L. Ascher, John P. Roberts – 30 December 2003 – A major obstacle for orthotopic liver transplantation (OLT) as treatment for hepatocellular carcinoma (HCC) is tumor growth resulting in dropout from the waiting list for OLT. There is a paucity of data on survival according to intention‐to‐treat analysis and the rate of dropout from the waiting list for OLT among patients with HCC.

Donor evaluation, donor risks, donor outcome, and donor quality of life in adult‐to‐adult living donor liver transplantation

Andreas Pascher, Igor M. Sauer, Marc Walter, Enrique Lopez‐Haeninnen, Tom Theruvath, Antonino Spinelli, Ruth Neuhaus, Utz Settmacher, Andrea R. Mueller, Thomas Steinmueller, Peter Neuhaus – 30 December 2003 – Right lobe living donor liver transplantation (LD‐LTx) is currently performed at an increasing number of transplant centers. Donor selection, donor safety, donor recovery, and postdonation psychological impairment are essential criteria to determine whether and under which conditions LD‐LTx is justifiable.

Liver transplantation for hepatocellular carcinoma: Comparison of the proposed UCSF criteria with the Milan criteria and the Pittsburgh modified TNM criteria

Francis Y. Yao, Linda Ferrell, Nathan M. Bass, Peter Bacchetti, Nancy L. Ascher, John P. Roberts – 30 December 2003 – We previously proposed modified staging criteria for predicting acceptable outcome after orthotopic liver transplantation (OLT) for hepatocellular carcinoma (HCC). These were solitary tumor ≤6.5 cm, or three or fewer nodules with the largest lesion ≤4.5 cm and total tumor diameter ≤8 cm, without gross vascular invasion (University of California, San Francisco [UCSF] criteria).

Engraftment assessment in human and mouse liver tissue after sex‐mismatched liver cell transplantation by real‐time quantitative PCR for Y chromosome sequences

Ling‐Jia Wang, Yong Ming Chen, David George, Francois Smets, Etienne M. Sokal, Eric G. Bremer, Humberto E. Soriano – 30 December 2003 – Transplanted hepatocytes can engraft, proliferate, and function permanently in host animals. After one cell infusion, however, engrafted hepatocytes constitute only between 1 in 200 to 1 in 3000 host liver cells. Although transplanted cells can be identified using biochemical and molecular techniques, more accurate methods are needed to evaluate interventions that could improve cell engraftment rates.

Redrawing organ distribution boundaries: Results of a computer‐simulated analysis for liver transplantation

Richard B. Freeman, Ann M. Harper, Erick B. Edwards – 30 December 2003 – For several years, the Organ Procurement and Transplantation Network/United Network for Organ Sharing (UNOS) Liver and Intestinal Transplantation Committee has been examining effects of changes and proposed changes to the liver allocation system. The Institute of Medicine recently recommended that the size of liver distribution units be increased to improve the organ distribution system. Methods to achieve this and the potential impact on patients and transplant centers of such a change are evaluated in this study.

Cytokine gene polymorphisms and acute human liver graft rejection

Michiel C. Warlé, Ayar Farhan, Herold J. Metselaar, Wim C.J. Hop, Chris Perrey, Pieter E. Zondervan, Marcel Kap, Sjoerd de Rave, Jaap Kwekkeboom, Jan N.M. IJzermans, Hugo W. Tilanus, Vera Pravica, Ian V. Hutchinson, Gerda J. Bouma – 30 December 2003 – Interindividual differences exist in the capacity to produce cytokines. It has been reported that levels of in vitro cytokine production measured after stimulated cell culture are associated with polymorphisms in cytokine genes.

Volumetric analysis of liver segments in 155 living donors

Surasak Leelaudomlipi, Yasuhiko Sugawara, Junichi Kaneko, Yuichi Matsui, Takao Ohkubo, Masatoshi Makuuchi – 30 December 2003 – Right‐lobe graft has been used most frequently for living donor liver transplantation in adult patients; however, some donors cannot donate their right lobe (according to the Healey and Scroy's terminology) because the remaining residual liver would be too small. A recent study suggested the possibility of right posterior segment graft in these donors.

Metabolic, cardiovascular, and acid‐base status after hepatic artery or portal vein reperfusion during orthotopic liver transplantation

Timothy S. Walsh, O. James Garden, Alistair Lee – 30 December 2003 – During liver transplantation, reperfusion traditionally is performed through the portal vein. After anecdotal observations that patients who underwent reperfusion first through the hepatic artery were more hemodynamically stable, we performed an exploratory, prospective, observational, nonrandomized study to compare cardiovascular stability, acid‐base status, and metabolic gas exchange between patients who underwent reperfusion through either the portal vein or hepatic artery.

Subscribe to