Intraoperative abortion of adult living donor liver transplantation: 15 cases from 1,179 cases in 20 years of experience in a single center.
10.4174/astr.2018.95.4.213
- Author:
Jungchan PARK
1
;
Gyu Seong CHOI
;
Mi Sook GWAK
;
Justin Sangwook KO
;
Sangbin HAN
;
Bobae HAN
;
Jae Won JOH
;
Sung Joo KIM
;
Suk Koo LEE
;
Choonhyuck David KWON
;
Jongman KIM
;
Chan Woo CHO
;
Gaab Soo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@skku.edu
- Publication Type:Original Article
- Keywords:
Abortion;
Living donors;
Liver transplantation;
Postoperative care
- MeSH:
Adult*;
Carcinoma, Hepatocellular;
Fatty Liver;
Humans;
Hypertension, Pulmonary;
Inflammation;
Liver Transplantation*;
Liver*;
Living Donors*;
Postoperative Care
- From:Annals of Surgical Treatment and Research
2018;95(4):213-221
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to report intraoperative abortion of adult living donor liver transplantation (LDLT). METHODS: From June 1997 to December 2016, 1,179 adult LDLT cases were performed. 15 cases (1.3%) of intraoperative abortions in LDLT were described. RESULTS: Among 15 cases, 5 intraoperative abortions were donor-related, and remaining 10 cases were recipient-related. All donor-related abortions were due to unexpected steatohepatitis. Among remaining 10 recipient-related intraoperative abortions, unexpected extension of hepatocellular carcinoma was related in 5 cases. Two cases of intraoperative abortions were related to bowel inflammation, and 2 cases were associated with severe adhesion related to previous treatment. One recipient with severe pulmonary hypertension was also aborted. CONCLUSION: Complete prevention of aborted LDLT is still not feasible. In this regard, further efforts to minimize intraoperative abortion are required.
