Clinical use of c2 monitoring in long-term liver transplant recipients.
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
D Bröring
Publications and source records attributed to D Bröring.
[Medical-surgical evaluation of living liver donors].
The living related liver segment transplantation is an established procedure in liver transplantation for children and adults. The evaluation of a possible donor should consider the following subjects: (1) Assessment of organ quality by imaging of size and anatomy of the liver and exclusion of the unknown liver diseases by labority analysis and liver biopsy. (2) Risk assessment of the potential organ donor by exclusion of preexisting diseases increasing the risk of surgery, including thromboembolic risk factors. (3) Psychological evaluation. Nevertheless the evaluation procedure should by practicable, convenient for the organ donor and cost effective. This can be realized by a stepwise program.
Adult↗
Split liver transplantation (SLT).
OBJECTIVES: In the last three decades liver transplantation (LT) has become a standard procedure for terminal liver failure. Anyway the procedure is highly limited by the availability of donor organs. The use of segmental liver grafts from living or cadaver donors are an attractive way to increase the donor pool for LT in adults and children. METHODS: Between 1991 and April 1999 we performed 647 liver transplantations in 416 adults and 231 children. 431 OLT, 124 SLT and 92 LRLT. Commonly used segmental liver grafts are the full right graft, the full left graft, the left lateral lobe graft and the right extended graft from living or cadaver donors respectively. RESULTS: The 1-year survival of elective SLT in adults is 80.5% and in children 84.3% (SLT + LRLT). CONCLUSIONS: Splitting procedures in liver transplantation are a promising completion to whole organ transplantations. The results of split liver (SLT) and living related liver transplantations (LRLT) are comparable to whole organ transplantations. These methods are able to increase the organ pool and thus decrease the pretransplant mortality both in children and adults.
Adult↗