Article (Scientific journals)
Right Hepatic Lobectomy as a Liver Graft-Saving Procedure
Honore, Pierre; Detry, Olivier; Hamoir, Etienne et al.
2001In Liver Transplantation, 7 (3), p. 269-73
Peer Reviewed verified by ORBi
 

Files


Full Text
Right lobe.pdf
Publisher postprint (420.7 kB)
Download

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
liver transplantation; liver surgery
Abstract :
[en] Retransplantation is common after liver transplantation (LT). However, in the present era of organ shortages, every attempt to save the liver graft should be performed before considering retransplantation. We report our experience with right hepatic lobectomy (RHL) for liver graft salvage. In a retrospective series of 180 adult LTs, 4 patients underwent RHL (Couinaud's segments V, VI, VII, VIII) in the post-LT period. In all cases, the procedure was performed without Pringle's maneuver or mobilization of the left liver lobe to preserve its vascularization. Three liver graft recipients developed intrahepatic biliary strictures, mainly localized to the right lobe of the graft, and RHL was performed 14, 75, and 78 months after LT. These patients were alive at last follow-up without further episodes of cholangitis or retransplantation (mean follow-up, 38 months). The fourth patient developed early post-LT right liver necrosis with a functioning hepatic artery and underwent right lobectomy 48 hours after LT. He later developed cholangitis secondary to late hepatic artery thrombosis, requiring retransplantation after 18 months. We conclude that RHL can be considered a graft-saving option in selected liver transplant recipients with localized biliary strictures, with excellent patient and graft survival.
Disciplines :
Surgery
Gastroenterology & hepatology
Author, co-author :
Honore, Pierre ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Detry, Olivier  ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Hamoir, Etienne ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Defechereux, Thierry ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Detroz, Bernard ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie abdominale- endocrinienne et de transplantation
Meurisse, Michel ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgicale abdominale
Jacquet, Nicolas
Language :
English
Title :
Right Hepatic Lobectomy as a Liver Graft-Saving Procedure
Publication date :
March 2001
Journal title :
Liver Transplantation
ISSN :
1527-6465
eISSN :
1527-6473
Publisher :
John Wiley & Sons, Hoboken, United States - New York
Volume :
7
Issue :
3
Pages :
269-73
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 06 January 2009

Statistics


Number of views
124 (8 by ULiège)
Number of downloads
216 (6 by ULiège)

Scopus citations®
 
12
Scopus citations®
without self-citations
10
OpenCitations
 
7

Bibliography


Similar publications



Contact ORBi