First case of cadaveric liver transplantation in Japan.
The first case of liver transplantation from a brain-dead donor in Japan is described. The recipient was a 43-year-old man with familial amyloid polyneuropathy who manifested various neuropathic symptoms and autonomic dysfunction at the time of transplantation. The graft had three arteries, for which a single trunk was created at the back table. A side-to-side cavacaval anastomosis was performed as an outflow reconstruction. To avoid portal congestion, a temporary shunt between the right posterior branch of the portal vein and the vena cava was constructed, instead of a venovenous bypass. The graft preservation time was 7.2 h and the operation time was 12.2 h. Although sufficient blood flow in the hepatic artery, portal vein, and hepatic vein was confirmed intra- and postoperatively, using Doppler ultrasound, transient graft dysfunction was observed immediately after surgery, but there was spontaneous improvement. The patient was discharged 100 days after transplantation.
Kawasaki
S
S
First Department of Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto 390-8621, Japan.
Hashikura
Y
Y
Ikegami
T
T
Nakazawa
Y
Y
Miwa
S
S
Kubota
T
T
Mita
A
A
Terada
M
M
Miyagawa
S
S
Furukawa
H
H
Todo
S
S
Makuuchi
M
M
D000328:Adult; D017772:Amyloid Neuropathies / Q000601:surgery*; D000714:Anastomosis, Surgical; D002102:Cadaver; D006801:Humans; D007564:Japan; D016031:Liver Transplantation; D008297:Male