Right living donor hepatectomy in the presence of celiac artery stenosis
Incidental celiac artery stenosis has been cited as an exclusion criterion for adult donor right hepatectomy. We report our experience involving right donor hepatectomy performed in the presence of isolated high-grade (greater than 80%) celiac trunk stenosis in two young healthy and asymptomatic adu...
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| Veröffentlicht in: | Transplantation 2003-03, Vol.75 (6), p.769-772 |
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| container_title | Transplantation |
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| creator | KADRY, Zakiyah FURRER, Katarzyna SELZNER, Markus PFAMMATTER, Thomas CLAVIEN, Pierre-Alain |
| description | Incidental celiac artery stenosis has been cited as an exclusion criterion for adult donor right hepatectomy.
We report our experience involving right donor hepatectomy performed in the presence of isolated high-grade (greater than 80%) celiac trunk stenosis in two young healthy and asymptomatic adult living liver donors.
The immediate postoperative course was complicated by a superficial wound infection in one patient and a transient median nerve palsy caused by intraoperative positioning, which spontaneously resolved, in the second patient. Both were discharged within 7 to 10 days postoperatively. They are doing well at 1 year follow-up without any complaints and have both returned to 100% full employment.
Our results show that right donor hepatectomy can be safely performed in the presence of significant celiac artery stenosis. However, careful long-term follow-up will be required to monitor for any future progression of mesenteric vascular disease. |
| doi_str_mv | 10.1097/01.TP.0000055255.41393.B5 |
| format | Article |
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We report our experience involving right donor hepatectomy performed in the presence of isolated high-grade (greater than 80%) celiac trunk stenosis in two young healthy and asymptomatic adult living liver donors.
The immediate postoperative course was complicated by a superficial wound infection in one patient and a transient median nerve palsy caused by intraoperative positioning, which spontaneously resolved, in the second patient. Both were discharged within 7 to 10 days postoperatively. They are doing well at 1 year follow-up without any complaints and have both returned to 100% full employment.
Our results show that right donor hepatectomy can be safely performed in the presence of significant celiac artery stenosis. However, careful long-term follow-up will be required to monitor for any future progression of mesenteric vascular disease.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/01.TP.0000055255.41393.B5</identifier><identifier>PMID: 12660499</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Adult ; Angiography ; Aorta ; Biological and medical sciences ; Celiac Artery - pathology ; Combined surgery. Multiple transplantations ; Constriction, Pathologic ; Follow-Up Studies ; hepatectomy ; Hepatectomy - methods ; Hepatic Artery ; Humans ; Liver Circulation ; Liver Transplantation - methods ; Living Donors ; Medical sciences ; Mesenteric Artery, Superior ; Patient Selection ; Postoperative Complications ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Transplantation, 2003-03, Vol.75 (6), p.769-772</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-94ee2e48c45e2b600974c215bfd56b725063aa51076b440a4e4eb5b313c126ee3</citedby><cites>FETCH-LOGICAL-c425t-94ee2e48c45e2b600974c215bfd56b725063aa51076b440a4e4eb5b313c126ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14690836$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12660499$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KADRY, Zakiyah</creatorcontrib><creatorcontrib>FURRER, Katarzyna</creatorcontrib><creatorcontrib>SELZNER, Markus</creatorcontrib><creatorcontrib>PFAMMATTER, Thomas</creatorcontrib><creatorcontrib>CLAVIEN, Pierre-Alain</creatorcontrib><title>Right living donor hepatectomy in the presence of celiac artery stenosis</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>Incidental celiac artery stenosis has been cited as an exclusion criterion for adult donor right hepatectomy.
We report our experience involving right donor hepatectomy performed in the presence of isolated high-grade (greater than 80%) celiac trunk stenosis in two young healthy and asymptomatic adult living liver donors.
The immediate postoperative course was complicated by a superficial wound infection in one patient and a transient median nerve palsy caused by intraoperative positioning, which spontaneously resolved, in the second patient. Both were discharged within 7 to 10 days postoperatively. They are doing well at 1 year follow-up without any complaints and have both returned to 100% full employment.
Our results show that right donor hepatectomy can be safely performed in the presence of significant celiac artery stenosis. However, careful long-term follow-up will be required to monitor for any future progression of mesenteric vascular disease.</description><subject>Adult</subject><subject>Angiography</subject><subject>Aorta</subject><subject>Biological and medical sciences</subject><subject>Celiac Artery - pathology</subject><subject>Combined surgery. Multiple transplantations</subject><subject>Constriction, Pathologic</subject><subject>Follow-Up Studies</subject><subject>hepatectomy</subject><subject>Hepatectomy - methods</subject><subject>Hepatic Artery</subject><subject>Humans</subject><subject>Liver Circulation</subject><subject>Liver Transplantation - methods</subject><subject>Living Donors</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Superior</subject><subject>Patient Selection</subject><subject>Postoperative Complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Multiple transplantations</topic><topic>Constriction, Pathologic</topic><topic>Follow-Up Studies</topic><topic>hepatectomy</topic><topic>Hepatectomy - methods</topic><topic>Hepatic Artery</topic><topic>Humans</topic><topic>Liver Circulation</topic><topic>Liver Transplantation - methods</topic><topic>Living Donors</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Superior</topic><topic>Patient Selection</topic><topic>Postoperative Complications</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KADRY, Zakiyah</creatorcontrib><creatorcontrib>FURRER, Katarzyna</creatorcontrib><creatorcontrib>SELZNER, Markus</creatorcontrib><creatorcontrib>PFAMMATTER, Thomas</creatorcontrib><creatorcontrib>CLAVIEN, Pierre-Alain</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KADRY, Zakiyah</au><au>FURRER, Katarzyna</au><au>SELZNER, Markus</au><au>PFAMMATTER, Thomas</au><au>CLAVIEN, Pierre-Alain</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Right living donor hepatectomy in the presence of celiac artery stenosis</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>2003-03-27</date><risdate>2003</risdate><volume>75</volume><issue>6</issue><spage>769</spage><epage>772</epage><pages>769-772</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>Incidental celiac artery stenosis has been cited as an exclusion criterion for adult donor right hepatectomy.
We report our experience involving right donor hepatectomy performed in the presence of isolated high-grade (greater than 80%) celiac trunk stenosis in two young healthy and asymptomatic adult living liver donors.
The immediate postoperative course was complicated by a superficial wound infection in one patient and a transient median nerve palsy caused by intraoperative positioning, which spontaneously resolved, in the second patient. Both were discharged within 7 to 10 days postoperatively. They are doing well at 1 year follow-up without any complaints and have both returned to 100% full employment.
Our results show that right donor hepatectomy can be safely performed in the presence of significant celiac artery stenosis. However, careful long-term follow-up will be required to monitor for any future progression of mesenteric vascular disease.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12660499</pmid><doi>10.1097/01.TP.0000055255.41393.B5</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Transplantation, 2003-03, Vol.75 (6), p.769-772 |
| issn | 0041-1337 1534-6080 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Angiography Aorta Biological and medical sciences Celiac Artery - pathology Combined surgery. Multiple transplantations Constriction, Pathologic Follow-Up Studies hepatectomy Hepatectomy - methods Hepatic Artery Humans Liver Circulation Liver Transplantation - methods Living Donors Medical sciences Mesenteric Artery, Superior Patient Selection Postoperative Complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Right living donor hepatectomy in the presence of celiac artery stenosis |
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