The experience in one case of adult-to-adult combined liver-kidney transplantation from the same living donor
10.3760/cma.j.issn.0254-1785.2013.06.004
- VernacularTitle:成人间活体肝肾联合移植一例体会
- Author:
Zhijun ZHU
;
Zilin CUI
;
Zhiping WANG
;
Yamin ZHANG
;
Zhongyang SHEN
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Kidney transplantation;
Living donor
- From:
Chinese Journal of Organ Transplantation
2013;(6):338-340
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in one case of adult-to-adult combined liver-kidney transplantation.Method In Sep.2007,one case of adult-to-adult liver-kidney transplantation from the same living donor was performed on a patient with liver cirrhosis (liver failure decompensation) and chronic renal failure (uremia).There was a donation of the right liver with the middle hepatic vein and right kidney in the same time from the living donor.The piggyback liver transplantation and ectopic kidney transplantation were performed for the recipient.Basiliximab and methylprednisolone were given for immune induction therapy in operation.Tacrolimus,MMF and prednisone were given for anti-rejection.There were hepatoprotective treatment,anti-infection treatment and nutritional support for the donor and recipient after operation.The follow-up period has now been more than five years.Result The donor and the patient were smooth in the perioperative period.The liver and kidney function of the donor is well so far.There was no significant influence on quality of life of the donor.The transplanted liver and kidney function of the recipient is well so far.There were no significant complications for the recipient.Conclusion The living liver-kidney transplantation is an effective means for the treatment of liver and kidney failure.The safety can be ensured for the donors that donate the right liver and one kidney simultaneously.
