Is Portal Inflow Modulation Always Necessary for Successful Utilization of Small Volume Living Donor Liver Grafts?

Although the well‐accepted lower limit of the graft‐to‐recipient weight ratio (GRWR) for successful living donor liver transplantation (LDLT) remains 0.80%, many believe grafts with lower GRWR may suffice with portal inflow modulation (PIM), resulting in equally good recipient outcomes. This study w...

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Veröffentlicht in:	Liver transplantation 2019-12, Vol.25 (12), p.1811-1821
Hauptverfasser:	Soin, Arvinder Singh, Yadav, Sanjay Kumar, Saha, Sujeet Kumar, Rastogi, Amit, Bhangui, Prashant, Srinivasan, Thiagarajan, Saraf, Neeraj, Choudhary, Narendra S., Saigal, Sanjeev, Vohra, Vijay
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Allografts - anatomy & histology Allografts - blood supply End Stage Liver Disease - mortality End Stage Liver Disease - surgery Female Graft Rejection - epidemiology Graft Rejection - etiology Graft Rejection - physiopathology Graft Rejection - prevention & control Graft Survival Humans Ligation - adverse effects Ligation - statistics & numerical data Liver - anatomy & histology Liver - blood supply Liver diseases Liver transplantation Liver Transplantation - adverse effects Liver Transplantation - methods Liver Transplantation - statistics & numerical data Living Donors Male Middle Aged Organ Size Patient Selection Portacaval Shunt, Surgical - adverse effects Portacaval Shunt, Surgical - statistics & numerical data Portal Pressure - physiology Portal System - physiopathology Portal System - surgery Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - physiopathology Postoperative Complications - prevention & control Retrospective Studies Spleen Splenic artery Splenic Artery - surgery Treatment Outcome
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Beschreibung
Zusammenfassung:	Although the well‐accepted lower limit of the graft‐to‐recipient weight ratio (GRWR) for successful living donor liver transplantation (LDLT) remains 0.80%, many believe grafts with lower GRWR may suffice with portal inflow modulation (PIM), resulting in equally good recipient outcomes. This study was done to evaluate the outcomes of LDLT with small‐for‐size grafts (GRWR
ISSN:	1527-6465 1527-6473
DOI:	10.1002/lt.25629