|
KMID : 0371320130840040245
|
|
Journal of the Korean Surgical Society
2013 Volume.84 No. 4 p.245 ~ p.251
|
|
|
The effect of a positive T-lymphocytotoxic crossmatch on clinical outcomes in adult-to-adult living donor liver transplantation
|
|
Kim Young-Kyu
Kim Seong-Hoon
Moon In-Sung
Han Sung-Sik
Cho Seong-Yeon
You Tae
Park Sang-Jae
|
|
|
Abstract
|
|
|
|
Purpose : There is controversy concerning the effect of a positive T-lymphocytotoxic crossmatch (TLC) on clinical outcomes in adult living donor liver transplantation (LDLT). The aim of this study was to investigate the effect of TLC on clinical outcomes in LDLT and to determine how long a pretransplant positive TLC continues after liver transplantation (LT). Methods : Between January 2005 and June 2010, 219 patients underwent adult LDLT at National Cancer Center. The TLC test was routinely performed before LDLT. TLC test results were positive in 8 patients (3.7%). Patients were divided into 2 groups according to the result of TLC: positive TLC (n = 8) and negative TLC (n = 211) groups. All patients with a pretransplant positive TLC (n = 6) underwent a TLC test every week until negative conversion of TLC, except 2 patients who refused to receive the TLC test. Results : Acute cellular rejection, surgical complications and patient or graft survival were not significantly different between both groups. All patients with a positive TLC (n = 6) had a posttransplant negative TLC. The median time to negative conversion of TLC was 1.5 weeks (range, 1 to 3 weeks). Conclusion : A pretransplant positive TLC does not affect clinical outcomes in adult LDLT. Moreover, T-lymphocytotoxic cross-reactivity disappeared within 3 weeks (range, 1 to 3 weeks) after LT.
|
|
|
KEYWORD
|
|
|
Living donor liver transplantation, Crossmatch, Acute rejection, Survival
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|