[Non-composite combined liver and intestinal allotransplantation].
OBJECTIVE
To report the first case of non-composite combined liver and intestinal allotransplantation in China. The technical aspects of the case and pros and cons of such an approach versus composite technique were discussed.


METHODS
The patient suffered from short bowel syndrome and TPN-related liver damage. A non-composite technique was used in this case. During operation, the whole 380 cm intestine was transplanted with systemic drainage and aortic inflow, while the liver graft was placed in a piggyback fashion. Warm ischemic time of donor graft was 2 min and 30 seconds, and cold ischemic duration for intestinal and liver graft was 6 hours and 40 and 8 hours and 7 utes respectively. Postoperative immunosuppression management includes tacrolimus, methylprednisolone, MMF and Zenapax.


RESULTS
The recipient recovered smoothly with no evidence of rejection on days' follow up. Now he is maintained well on enteral nutrition.


CONCLUSIONS
Non-composite technique should be considered in adult recipients, especially those with a history of abdominal infections or multiple laparotomies.
Institute of General Surgery, Nanjing General Hospital of People's Liberation Army, Nanjing 210002, China.
Ning
N
Li
You-sheng
YS
Li
Yuan-xin
YX
Li
Wei-ming
WM
Zhu
Xiao-dong
XD
Ni
Liang
L
Zhu
Bin
B
Cao
Wei-su
WS
Li
Kai
K
Luo
Jie-shou
JS
Li
D000328:Adult; D006801:Humans; D007422:Intestines / Q000637:transplantation*; D016031:Liver Transplantation; D008297:Male; D012778:Short Bowel Syndrome / Q000628:therapy*; D014184:Transplantation, Homologous / Q000379:methods*; D016896:Treatment Outcome