Analysis and management of liver retransplantation following adult-to-adult living donor liver transplantation

作者：Li, Li-Xin; Zao, Xin; Zhang, Zhi-Hua; He, Qiang^*; Wang, Chang-Miao^*

来源：International Journal of Clinical and Experimental Medicine, 2016, 9(3): 6836-6840.

• Liver retransplantation
• ALDLT

The aim of this study was to analyze clinical characteristics in liver transplantation following adult-to-adult living donor liver transplantation. Six patients who had undergone ALDLT at other hospitals were performed retransplantations. The causes of graft failure included biliary complication (n = 2) associated with hepatic artery thrombosis, vascular complication (n = 2), chronic rejection (n = 1) and hepatitis recurrence (n = 1). Liver re-transplantation was performed on 6 patients through modified piggyback liver transplantation. Vascular anastomosis was performed between the hepatic arteries of donor livers and receptor abdominal aorta in 1 case, and the rest were subjected to end-to-end homonymic vascular anastomosis. No operative death occurred. Due to primary non-function, 1 died after the operation. During the follow-up period, 1 patient had arsastornotic stricture of hepatic artery after the operation and was cured by percutaneous venoplasty. The survival of the rest patients was 12, 9, 6, 4 and 3 months respectively. It is very important that the indications and time of retransplantation are carefully selected. Peritoneal adhesion and exploration of importantant anatomical structure is the operative difficulty for liver retransplantation following adult-to-adult living donor liver transplantation.

• 出版日期2016
• 单位大连医科大学