Date: Monday, May 1, 2017
Session Time: 4:30pm-6:00pm
Presentation Time: 4:42pm-4:54pm
- Live Donor Vs Deceased Donor Liver Transplantation Results in Identical Outcome in Recipients With Acute Liver Failure An Important Choice for Critical Ill Patients
- Outcome of Partial Reconstruction of Multiple Hepatic Arteries in Pediatric Living Donor Liver Transplantation Using Left Lateral Section Grafts.
Introduction: It's been described that the use of live donor (LD) liver grafts with multiple bile ducts (BD) increases the risk of BD related complications after live donor liver transplantation (LDLT). We aim to evaluate the impact of multiple BD in LD grafts on the outcome following LDLT.
Methods: From 2000-2015, 510 LDLT were performed at our institution. Outcome of patients receiving a LDLT using grafts with ≥2 BD (n=190) were compared to all patients receiving a LD graft with only one BD (n=320).
Results: Demographic variables and disease severity was equally distributed between both groups. Roux-y reconstruction of the BD was significantly higher in the ≥2 BD group (n=148, 77.9%) when compared to those patients receiving a graft with a single BD (n=123, 38.6%; p<0.001). Biliary complication rate after LDLT was not different between both groups (1 BD: 75 (23.4%) vs. ≥2 BD: 43 (22.6%); p=0.914). Recipients major complication (Clavien ≥3b) rate was similar between both groups (1 BD: 41.6% vs. ≥2 BD: 44.7%; p=0.517), and both groups had a comparable re-transplantation rate (1 BD: 18 (5.6%) vs. ≥2 BD: 11 (5.8%), p=1). The 1-(90% vs. 91%), 5- (82% vs. 78%), and 10-year (70% vs. 68%) graft survival was comparable between the single and the multiple BD groups (p=0.588). Likewise, there was no significant difference in the 1-, 5- and 10-year patient survival between both groups (1 BD: 92%, 84%, 75% vs. ≥2 BD: 94%, 82%, 78%, respectively; p=0.84). In addition, patients receiving a graft with 3 BD (n=18) showed similar graft survival to those with ≤2 BD (n=492) (≤2 BD: 90%, 80%, 60% vs. 3 BD: 94%, 87%, 75%; p=0.745).
Conclusion. LDLT using grafts with multiple BD is safe and does not negatively impact on postoperative biliary complication rate and graft survival.
CITATION INFORMATION: Kollmann D, Sapisochin G, Selzner N, Cattral M, Greig P, Lilly L, McGilvray I, Ganekar A, Grant D, Selzner M, Goldaracena N. Live Donor Liver Transplantation Using Grafts with More Than Two Bile Ducts – Does It Affect Patient Outcome? Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Kollmann D, Sapisochin G, Selzner N, Cattral M, Greig P, Lilly L, McGilvray I, Ganekar A, Grant D, Selzner M, Goldaracena N. Live Donor Liver Transplantation Using Grafts with More Than Two Bile Ducts – Does It Affect Patient Outcome? [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/live-donor-liver-transplantation-using-grafts-with-more-than-two-bile-ducts-does-it-affect-patient-outcome/. Accessed January 26, 2021.
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