[Living donor liver transplantation for fulminant hepatic failure--medical treatment organization in Kyushu University].
Liver transplantation has been recognized as an effective therapeutic method for end-stage liver disease in Japan. Fulminant hepatic failure is also an indication for liver transplantation, and the number of patients undergoing liver transplantation has been increasing. Reversibility and urgency are characteristics of fulminant hepatitis. If given appropriate critical support, many patients recover spontaneously. However, many patients develop cerebral edema or multiorgan failure before the liver can regenerate. From October 1996 to July 2002, living donor liver transplantation (LDLT) was performed to 84 end stage liver disease patients in Kyushu University. Twenty-four (28.6%) of 84 LDLTs were for fulminant hepatic failure. In Kyushu University, LDLT candidates including urgent cases were discussed with indication in the liver transplantation committee (the medical professions division and an outside-the-university committee are included) and then the coordinator committee performs informed consent. LDLT can be performed only by cooperation of each section concerned such as Transfusion part, Medicine part, Radiation part, Operation part, Intensive Care Unit and so on. In this paper, we outline about fulminant hepatic failure and living donor liver transplantation, and describe the fulminant hepatitis medical treatment organization in Kyushu University.
Suehiro
Taketoshi
T
Department of Surgery and Medical Science, Kyushu University.
Shimada
Mitsuo
M
Kishikawa
Keiji
K
Soejima
Yuji
Y
Yoshizumi
Tomoharu
T
Maehara
Yoshihiko
Y
Nakao
Rie
R
Hayashida
Kazuhiro
K
Nakamuta
Makoto
M
Honda
Hiroshi
H
Irita
Kazuo
K
Kodama
Kenji
K
Inaba
Shoichi
S
Taniyama
Takuro
T
D006801:Humans; D007258:Informed Consent; D007564:Japan; D017093:Liver Failure / Q000601:surgery*; D016031:Liver Transplantation / Q000706:statistics & numerical data; D019520:Living Donors; D012577:Schools, Medical / Q000458:organization & administration*