Hepatic resection after liver transplantation as a graft-saving procedure.
Biliary lesions and hepatic artery thrombosis are known causes of posttransplant liver failure and liver retransplantation. The shortage of organs and the results of retransplantation have forced transplant teams to developed graft-saving techniques. We report two cases who underwent hepatic resection after liver transplantation. In both cases, a left lateral segmentectomy was performed. At follow-up, the patients are well with optimal graft function. We believe this kind of resection represents an adequate alternative in selected cases and must be considered before enlistment for retransplantation.
Guerra
J F
JF
Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile. jfguerra@med.puc.cl
Jarufe
N
N
Martínez
J
J
D000714:Anastomosis, Surgical / Q000379:methods; D001646:Bile / Q000378:metabolism; D001652:Bile Ducts / Q000473:pathology* / Q000601:surgery; D004106:Dilatation / Q000379:methods; D042882:Gallstones / Q000601:surgery*; D006432:Hemochromatosis / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome