title: [Adult living donor liver transplantation using right lobe for severe hepatitis in emergency: a report of 9 cases].
abstract: OBJECTIVE
  To evaluate the outcome of emergency adult right lobe living donor liver transplantation for fulminant hepatitis.
  
  
  METHODS
  Nine cases of adult right lobe living donor liver transplantation were performed from September 2002 to August 2005, the clinical and follow-up data was analyzed.
  
  
  RESULTS
  According to Child Pugh Turcotte (CPT) classification, 9 patients were classified as grade C before transplant. The Model for End-Stage Liver Disease (MELD) scores of these patients were 26.7 +/- 8.8. The principal pre-transplant complications included hepatic encephalopathy (5 cases), electrolyte disturbance (3 cases), renal failure (2 cases), gastrointestinal bleeding (1 case). The operations in donors and recipients were all successful. The post-transplant complications induced pulmonary infection in 2 patients, acute renal failure in 3 and transplantation related encephalopathy in 1. There were no primary graft non-function and no blood vessel and bile tract complications occurred. One-year survival rate was 55.6%. No serious complication or death found in donors.
  
  
  CONCLUSIONS
  Emergency adult to adult living donor liver transplantation is an effective treatment for fulminant hepatitis but the safety of the donors should be assessed strictly preoperation.
authors.affiliation: Center of Liver Transplantation, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210009, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
authors.forename: Xue-Hao
authors.initials: XH
authors.lastname: Wang
authors.forename: Xiang-Cheng
authors.initials: XC
authors.lastname: Li
authors.forename: Lian-Bao
authors.initials: LB
authors.lastname: Kong
authors.forename: Bei-Cheng
authors.initials: BC
authors.lastname: Sun
authors.forename: Guo-Qiang
authors.initials: GQ
authors.lastname: Li
authors.forename: Xiao-Feng
authors.initials: XF
authors.lastname: Qian
authors.forename: Feng
authors.initials: F
authors.lastname: Cheng
authors.forename: Sen
authors.initials: S
authors.lastname: Lu
authors.forename: Ling
authors.initials: L
authors.lastname: Lü
mesh_terms: D000328:Adult; D016638:Critical Illness; D004632:Emergency Medical Services; D005260:Female; D005500:Follow-Up Studies; D006505:Hepatitis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome