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KMID : 0371420180950040213
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Annals of Surgical Treatment and Research
2018 Volume.95 No. 4 p.213 ~ p.221
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Intraoperative abortion of adult living donor liver transplantation: 15 cases from 1,179 cases in 20 years of experience in a single center
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Park Jung-Chan
Choi Gyu-Seong
Gwak Mi-Sook
Ko Justin Sang-Wook
Han Sang-Bin
Han Bo-Bae
Joh Jae-Won
Kim Sung-Joo
Lee Suk-Koo
Kwon Choon-Hyuck David
Kim Jong-Man
Cho Chan-Woo
Kim Gaab-Soo
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Abstract
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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.
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KEYWORD
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Abortion, Living donors, Liver transplantation, Postoperative care
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