Right living donor hepatectomy in the presence of celiac artery stenosis
作者:
Zakiyah Kadry,
Katarzyna Furrer,
Markus Selzner,
Thomas Pfammatter,
Pierre-Alain Clavien,
期刊:
Transplantation
(OVID Available online 2003)
卷期:
Volume 75,
issue 6
页码: 769-772
ISSN:0041-1337
年代: 2003
出版商: OVID
数据来源: OVID
摘要:
Background.Incidental celiac artery stenosis has been cited as an exclusion criterion for adult donor right hepatectomy.Methods.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.Results.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.Conclusions.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.
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