title: Retransplantation using living-donor right-liver grafts.
abstract: BACKGROUND
  This study reviews the outcomes of retransplantation using living-donor right-liver grafts.
  
  
  METHODS
  A retrospective study of liver retransplants performed between 1996 and 2013 was conducted. The retransplants were divided into the DD group (with deceased donors) and the LD group (with living donors). Survival outcomes were analyzed.
  
  
  RESULTS
  The DD group contained 23 patients and 27 retransplants using whole-liver grafts and the LD group contained 11 patients and 11 retransplants using right-liver grafts. Vascular and biliary complications were the main indications for retransplantation in both groups. The LD group had significantly younger donors, lighter grafts, shorter cold ischemia and longer operations. The two groups were comparable in age, preoperative liver function, warm ischemia, blood loss, transfusion, intensive care unit stay, hospital stay, hospital mortality, complication and graft loss. The 1-year, 3-year and 5-year patient survival rates were 78.3%, 73.7% and 63.8%, respectively, in the DD group. The LD group had the corresponding rates all at 90.9% (P = 0.246). The 1-year, 3-year and 5-year graft survival rates were 74.1%, 65.8% and 61.5%, respectively, in the DD group. The LD group had the corresponding rates all at 90.9% (P = 0.132).
  
  
  CONCLUSIONS
  Excellent long-term survival after retransplantation using living-donor right-liver grafts can be achieved.
authors.affiliation: Department of Surgery, Queen Mary Hospital, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China. seechingchan@gmail.com.
authors.forename: Wing Chiu
authors.initials: WC
authors.lastname: Dai
authors.forename: See Ching
authors.initials: SC
authors.lastname: Chan
authors.forename: Kenneth S H
authors.initials: KS
authors.lastname: Chok
authors.forename: Tan To
authors.initials: TT
authors.lastname: Cheung
authors.forename: William W
authors.initials: WW
authors.lastname: Sharr
authors.forename: Albert C Y
authors.initials: AC
authors.lastname: Chan
authors.forename: James Y Y
authors.initials: JY
authors.lastname: Fung
authors.forename: Tiffany C L
authors.initials: TC
authors.lastname: Wong
authors.forename: Chung Mau
authors.initials: CM
authors.lastname: Lo
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006085:Graft Survival; D006801:Humans; D016031:Liver Transplantation / Q000379:methods* / Q000401:mortality; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies
keywords: Living donor · Retransplantation · Right liver graft