scholarly journals Effect of pre‐transplant sarcopenia on the estimation of standard liver volume in living‐donor liver transplant candidates: risk factor for post‐transplant small‐for‐size syndrome? A retrospective study

2020 ◽  
Vol 33 (10) ◽  
pp. 1282-1290
Author(s):  
Riccardo Pravisani ◽  
Masaaki Hidaka ◽  
Umberto Baccarani ◽  
Shinichiro Ono ◽  
Miriam Isola ◽  
...  
Keyword(s):  
Risk Factor ◽  
Retrospective Study ◽  
Living Donor ◽  
Liver Volume ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Standard Liver Volume ◽  
Transplant Candidates ◽  
Donor Liver Transplant ◽  
Small For Size

scholarly journals EFFECT OF PRE-TRANSPLANT SARCOPENIA ON THE ESTIMATION OF THE STANDARD LIVER VOLUME IN LIVING-DONOR LIVER TRANSPLANT CANDIDATES

2020 ◽  
Vol 104 (S3) ◽  
pp. S528-S528
Author(s):  
Masaaki Hidaka ◽  
Riccardo Pravisani ◽  
Takanobu Hara ◽  
Tota Kugiyama ◽  
Takashi Hamada ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Living Donor ◽  
Liver Volume ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Standard Liver Volume ◽  
Transplant Candidates ◽  
Donor Liver Transplant

Reliable Estimation of Preoperative Graft Volume in Living Donor Liver Transplantation

2021 ◽  
Vol 15 (11) ◽  
pp. 3030-3033
Author(s):  
Amer Latif ◽  
M Akif Dilshad ◽  
Sumbul Naz ◽  
Sadia Jabbar ◽  
Faisal Naseer ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Living Donor ◽  
Liver Volume ◽  
Volume Estimation ◽  
Accurate Estimation ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Right Lobe ◽  
Graft Weight ◽  
Donor Liver Transplant

Aims & Objectives: Corner stone in performing living donor liver transplant is to assess and predict the adequacy of the donated liver for recipient and remaining liver. Previously the conversion of liver volume to estimated weight is done by using unit to unit conversion with a factor of 1. We analyzed data of our institute to research the methodology and local applicability of the same. Place and duration of study: Shaikh Zayed Hospital, Lahore. January 2011 to June 2017 Material & Methods: Retrospective data was collected for the first 115 recipients and donors. Their preoperative liver volumes calculated by C.T scan and post-operative graft harvested with weights were compared. Results: The parameter of actual volume of right lobe averaged to 769.77 ± 12.73 gm varying with a quantum of 17.73% (426 – 1123 gm). Estimated volume of right lobe of liver varied 358 to 1218 ml (CV = 17.84%) with an average value of 798.96 ± 13.29 ml. Results of linear regression between estimated volume of right lobe and actual weight of the right lobe in gm was significantly linear (r = 0.830, r2 = 0.690, adj. r2 = 0.689 and F = 250.98, p < 0.0001), showing that volumetric assessment overestimated graft weight/volume. Following is equation generated from our data for graft weight estimation. Actual right lobe (g) = 134.004 + 0.796 (estimated right lobe volume (ml) ± 76.42. Conclusion: Using one to one principle for volume estimation of healthy liver can be misleading and therefore we propose an equation to reach more accurate estimation of graft weight. Keywords: living donor liver transplant, CT volumetry, graft to body weight ratio

43. Strategies and Outcome in Small for Size Grafts in Living Donor Liver Transplant

2019 ◽  
Vol 9 (3) ◽  
pp. 443-444
Author(s):  
Kamal S. Yadav ◽  
Sanjay Yadav ◽  
Sujeet Saha ◽  
Sanjeev Rohatgi ◽  
Rohan C. ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Living Donor ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Donor Liver Transplant ◽  
Small For Size

scholarly journals P0589ACUTE KIDNEY INJURY IN PATIENTS UNDERGOING LIVING DONOR LIVER TRANSPLANT-INCIDENCE ,RISK FACTORS AND SHORT TERM PATIENT OUTCOMES ,A PROSPECTIVE SINGLE CENTER STUDY

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Abhyudaysingh Rana ◽  
Ashwini Gadde ◽  
Amit Mahapatra ◽  
Neeraj Saraf ◽  
Arvinder Soin ◽  
...  
Keyword(s):  
Risk Factor ◽  
Liver Transplant ◽  
Living Donor ◽  
Past History ◽  
Kidney Injury ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Incidence Risk ◽  
History Of ◽  
Donor Liver Transplant

Abstract Background and Aims AKI is a major concern in the management of candidates for liver transplantation. Post-LT AKI is associated with worse short- and long-term recipient and graft outcomes and the subsequent development of chronic kidney disease (CKD ).Most of the studies done on this are on deceased donor Liver transplant ,or if done on Living donor are retrospective in nature & there is inconsistency in studies regarding definition of AKI To assess incidence, risk factor and outcomes of patient developing acute kidney injury(AKI) in patients undergoing living donor liver transplant(LT). Method This is a single center prospective study. Patients over age of 18 years undergoing living donor liver transplant were selected consecutively from Jan 19 to April 19, prospectively followed for 1 month post op to assess incidence of AKI(Early-&lt;=7,Late &gt;7 to &lt;30) & reassessed at 3 months for persistence of renal dysfunction .Patients with fulminant liver failure, those undergoing combined liver kidney transplant & who died within first 72 hour post-LT were excluded .AKI was defined by KDIGO criteria. Preoperative, Intraoperative & Post operative variables were analysed for risk factor & patient outcomes by regression analysis. Results 62 patients underwent LDLT between period of Jan 2019 to April 2019 .22(35%) patients developed AKI .15 (68%) had stage 1 AKI ,5 (23%) Stage 2 & 2(9%) had stage 3 AKI requiring CRRT.14 (64 %) patients had early AKI ,8 (36%) had late AKI.Acute CNI toxicity (3,14%) was most common cause of early AKI.Most common cause of Late AKI was Sepsis (7,11%).Use of vasopressors intra op & Past history of AKI (HRS) were the only statistically significant(p &lt;0.001) risk factors for AKI .The mean ICU stay among patients with AKI was 7.2 ±4.2 days vs 4.5±1.2 days in patients without AKI .Median days to normalization of liver enzymes in non AKI group was 10 days vs 20 days in AKI group.2 (3.2%)patient had persistence of renal dysfunction at 3 month. 7(11.2%) patients died during analysis period, 2(3%) of them from AKI group. Conclusion - Incidence of AKI (35%) was higher in our study as compared to other cohort but lead to CKD in 2 patients . Past history of AKI (HRS) was a significant risk factor for Post op AKI though pre transplant e GFR did not differ in both group. Although AKI was transient but it lead to increase ventilator stay ,ICU stay and prolonged normalization of graft function in patients undergoing Living donor liver transplant.

scholarly journals Feasibility and Findings of Colonoscopy for Living-donor Liver Transplant Candidates

2009 ◽  
Vol 43 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Shin Ishikawa ◽  
Jun Kato ◽  
Motoaki Kuriyama ◽  
Koji Takemoto ◽  
Toshio Uraoka ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Living Donor ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Transplant Candidates ◽  
Donor Liver Transplant

scholarly journals Sa1585 – Single Center Retrospective Study on Biliary Outcomes in Living Donor Liver Transplant Recipients

2019 ◽  
Vol 156 (6) ◽  
pp. S-1243-S-1244
Author(s):  
Abdul Kouanda ◽  
Fareha Iqbal ◽  
James Ostroff ◽  
Sun-Chuan Dai ◽  
Maen Masadeh ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Liver Transplant ◽  
Living Donor ◽  
Transplant Recipients ◽  
Single Center ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Donor Liver Transplant ◽  
Liver Transplant Recipients

scholarly journals Inflow modulation in living donor liver transplant to reduce small for size syndrome

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S819
Author(s):  
X.S. Ling ◽  
Y.X. Koh ◽  
S.Y. Lee ◽  
B.K.P. Goh ◽  
P.C. Cheow ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Living Donor ◽  
Donor Liver ◽  
Living Donor Liver Transplant ◽  
Donor Liver Transplant ◽  
Small For Size
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