American Journal of Transplantation
Vol.19, Issue6, P. 1847-1851
Аннотация:
With the presence of organ shortage, living donors remain important sources of grafts, especially for pediatric recipients. Laparoscopic nephrectomy has become the gold standard for living donors. Additionally, laparoscopic partial liver procurement in living donors has proven its safety and feasibility in the latest studies. We have combined both approaches to perform a simultaneous liver-kidney transplantation in a pediatric patient from the same living donor. Our experience of laparoscopic left lateral sectionectomy and laparoscopic nephrectomy in living donors was the basis for adapting to this procedure. A 29-year-old mother was an ABO-incompatible (ABOi) donor for the left lateral section (LLS) of the liver and left kidney for her 2-year-old son. The postoperative period was uneventful. Two sessions of plasmapheresis and rituximab induction were necessary to prepare for ABOi transplantation. The donor and recipient were discharged on postoperative days 5 and 28, respectively. Sim
Ключевые слова:
ABO incompatibility; clinical research/practice; kidney transplantation/nephrology; kidney transplantation: living donor; liver transplantation/hepatology; liver transplantation: living donor; minimally invasive surgery; pediatrics
blood group B antibody; creatinine; rituximab; adult; antibody titer; Article; ascites; autosomal recessive disorder; blood group ABO incompatibility; case report; child; clinical article; cold ischemia; creatinine clearance; esophagus varices; female; graft recipient; hepatomegaly; human; hypoalbuminemia; international normalized ratio; kidney donor; kidney polycystic disease; kidney transplantation; laparoscopic left lateral sectionectomy; laparoscopic surgery; liver donor; liver failure; liver fibrosis; liver transplantation; living donor; male; minimally invasive surgery; nephrectomy; oliguria; operation duration; operative blood loss; plasmapheresis; portal hypertension; preschool child; priority journal; renal replacement therapy; Roux Y anastomosis; splenomegaly; uremia; visual analog scale; blood group ABO system; complication; end stage liver disease; kidney transplantation; laparoscopy; liver resection; liver transplantation; nephrectomy; procedures; transplantation; ABO Bloo
Gotye S. V. Sergej Vladimirovich 1947-
Monakhov A. R. Artem Rashidovich 1987-
Miloserdov I. A. Igor` Aleksandrovich 1975-
Arzumanov S.
Tsirul`nikova O. M. Ol`ga Martenovna 1962-
Semash K.
Dzhanbekov T.
Готье С. В. Сергей Владимирович 1947-
Монахов А. Р. Артем Рашидович 1987-
Милосердов И. А. Игорь Александрович 1975-
Арзуманов С.
Цирульникова О. М. Ольга Мартеновна 1962-
Семаш К.
Джанбеков Т.
Simultaneous laparoscopic left lateral sectionectomy and nephrectomy in the same living donor: The first case report
Текст визуальный непосредственный
American Journal of Transplantation
Munksgaard International Publishers
Vol.19, Issue6 P. 1847-1851
2019
Статья
ABO incompatibility clinical research/practice kidney transplantation/nephrology kidney transplantation: living donor liver transplantation/hepatology liver transplantation: living donor minimally invasive surgery pediatrics
blood group B antibody creatinine rituximab adult antibody titer Article ascites autosomal recessive disorder blood group ABO incompatibility case report child clinical article cold ischemia creatinine clearance esophagus varices female graft recipient hepatomegaly human hypoalbuminemia international normalized ratio kidney donor kidney polycystic disease kidney transplantation laparoscopic left lateral sectionectomy laparoscopic surgery liver donor liver failure liver fibrosis liver transplantation living donor male minimally invasive surgery nephrectomy oliguria operation duration operative blood loss plasmapheresis portal hypertension preschool child priority journal renal replacement therapy Roux Y anastomosis splenomegaly uremia visual analog scale blood group ABO system complication end stage liver disease kidney transplantation laparoscopy liver resection liver transplantation nephrectomy procedures transplantation ABO Bloo
With the presence of organ shortage, living donors remain important sources of grafts, especially for pediatric recipients. Laparoscopic nephrectomy has become the gold standard for living donors. Additionally, laparoscopic partial liver procurement in living donors has proven its safety and feasibility in the latest studies. We have combined both approaches to perform a simultaneous liver-kidney transplantation in a pediatric patient from the same living donor. Our experience of laparoscopic left lateral sectionectomy and laparoscopic nephrectomy in living donors was the basis for adapting to this procedure. A 29-year-old mother was an ABO-incompatible (ABOi) donor for the left lateral section (LLS) of the liver and left kidney for her 2-year-old son. The postoperative period was uneventful. Two sessions of plasmapheresis and rituximab induction were necessary to prepare for ABOi transplantation. The donor and recipient were discharged on postoperative days 5 and 28, respectively. Sim