Abstract | BACKGROUND: METHODS: The subjects were 59 adult patients who had received right lobe LDLT with a graft weight-to-recipient weight ratio (GRWR)>0.8%. Patients were divided into either Group 1 (n=14, massive ascites, defined as the production of ascitic fluid>1000 mL/d that lasted longer than 14 d after LDLT) or Group 2 (n=45, no development of massive ascites). Patients were followed for a median period of 3.0 yr (range, 0.5-7.5 yr). RESULTS: Group 1 had both higher Model for End-Stage Liver Disease score and Child-Pugh score than Group 2. Portal venous flow volume just after reperfusion was significantly greater in Group 1 than Group 2 (307.8±268.8 vs. 176.2±75.0 mL/min/100 g graft weight, respectively; p<0.05). Post-transplant infectious complications including ascites infection developed more frequently within the first post-transplant month in Group 1. Massive ascites was significantly associated with early graft loss (p<0.05). CONCLUSION: Post-transplant massive ascites associated with portal over-perfusion into the graft liver can develop in patients with a GRWR over 0.8%. Recipients with post-transplant massive ascites require careful management to prevent infection.
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Authors | Yasumasa Shirouzu, Yuki Ohya, Hiroko Suda, Katsuhiro Asonuma, Yukihiro Inomata |
Journal | Clinical transplantation
(Clin Transplant)
2010 Jul-Aug
Vol. 24
Issue 4
Pg. 520-7
ISSN: 1399-0012 [Electronic] Denmark |
PMID | 19843111
(Publication Type: Journal Article)
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Copyright | © 2009 John Wiley & Sons A/S. |
Topics |
- Adolescent
- Adult
- Aged
- Ascites
(etiology, pathology)
- Body Weight
- Female
- Graft Survival
- Humans
- Liver
(anatomy & histology, surgery)
- Liver Failure
(therapy)
- Liver Transplantation
(adverse effects)
- Living Donors
- Male
- Middle Aged
- Organ Size
- Postoperative Complications
- Retrospective Studies
- Treatment Outcome
- Young Adult
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