[Adult living donor liver transplantation using right lobe for severe hepatitis in emergency: a report of 9 cases].
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.
Zhang
Feng
F
Center of Liver Transplantation, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210009, China.
Wang
Xue-Hao
XH
Li
Xiang-Cheng
XC
Kong
Lian-Bao
LB
Sun
Bei-Cheng
BC
Li
Guo-Qiang
GQ
Qian
Xiao-Feng
XF
Cheng
Feng
F
Lu
Sen
S
Lü
Ling
L
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