Over 500 Liver Transplants Including More Than 400 Living-Donor Liver Transplants in 2019 at Asan Medical Center

Moon, Deok‐Bog; Lee, Sung‐Gyu; Chung, Yeongu; Kang, Woo‐Hyoung; Kim, Ki‐Hun; Song, Gi‐Won; Jung, Dong‐In; Ha, Tae‐Yong; Ahn, Curie; Park, Gil‐Chun; Hwang, Shin; Yoon, Young‐In; Cho, Hwui-Dong; Kang, Sang-Hyun; Choi, Jeongyong; Jeong, I-Jy; Na, Byeong-Gon; Kim, Minjae; Kim, Sang-Hoon; Sung, Kyu‐Bo; Ko, Gi‐Young; Kwon, Dong-Il; Lee, Sung‐Koo; Oh, Dong Kyu; Hwang, Gyu‐Sam; Song, Jae-Kwan; Jun, In‐Gu; Moon, Young‐Jin; Lee, Sang‐Oh; Kim, Sung-Han; Huh, Jae-Wan

doi:10.1016/j.transproceed.2020.08.027

Cited by 18 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall reservation rate and the actual rate of IOCP in the present study were 41.9% (13 of 31) and 19.4% (6 of 31), respectively. Such an actual incidence of IOCP in BA patients is much lower than that in adult LDLT, which is more than 30% in our institution 4,5 …”

Section: Discussionmentioning

confidence: 58%

“…Thus, it is technically demanding to occlude multiple collateral veins effectively. We have accumulated experience of intraoperative cine‐portogram (IOCP) to identify and embolize portosystemic collaterals in adult patients undergoing living‐donor liver transplantation (LDLT) 4,5 . We have also applied the concept of IOCP learned from adult LDLT patients to pediatric LT recipients 6 .…”

Section: Introductionmentioning

confidence: 99%

“…We have accumulated experience of intraoperative cine-portogram (IOCP) to identify and embolize portosystemic collaterals in adult patients undergoing living-donor liver transplantation (LDLT). 4,5 We have also applied the concept of IOCP learned from adult LDLT patients to pediatric LT recipients. 6 The aim of the present study was to assess the clinical usability of IOCP in young pediatric patients who underwent LT for BA.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Usability of intraoperative cine‐portogram during liver transplantation in young pediatric patients with biliary atresia

Namgoong

Hwang

et al. 2021

Pediatric Transplantation

Self Cite

View full text Add to dashboard Cite

Background Pediatric patients with biliary atresia (BA) often present liver cirrhosis‐associated portal hypertension and portal vein (PV) hypoplasia. For successful liver transplantation (LT), it is essential to maintain sufficient PV inflow through stenosis‐free PV reconstruction with effective ligation of collateral veins. The aim of this study was to assess the clinical usability of intraoperative cine‐portogram (IOCP) in young pediatric patients who underwent LT for BA. Methods Medical records of pediatric patients younger than 10 years who underwent primary LT for BA from 2018 to 2020 were reviewed. Results A total of 31 patients had undergone Kasai portoenterostomy soon after birth. Their median ages at Kasai portoenterostomy and LT were 1 and 11 months, respectively. Types of LT were living‐donor LT in 13, deceased‐donor split LT in 15, and deceased‐donor whole LT in three patients. PV interposition using an iliac vein homograft was performed in 28 patients receiving partial liver grafts. Side‐to‐side PV unification venoplasty was performed in three patients undergoing whole LT. All patients underwent ligation of collateral veins. IOCP was performed in 6 (19.4%) patients. Four showed no or faint residual venous collaterals. Collateral vein embolization and endovascular stenting were performed in one patient each. PV insufficiency‐free survival rate was 100% at 1 year and 93.8% at 3 years. All patients are currently alive with a median follow‐up period of 23 months. Conclusions Intraoperative cine‐portogram can be a useful method for identification and embolization of residual portosystemic collateral veins in young pediatric patients who undergo LT for biliary atresia.

show abstract

Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Usability of intraoperative cine‐portogram during liver transplantation in young pediatric patients with biliary atresia

Namgoong

Hwang

et al. 2021

Pediatric Transplantation

Self Cite

View full text Add to dashboard Cite

show abstract

“…In recent years, the annual total number of LT in Korea has remained largely unchanged, thereby suggesting a reciprocal relationship between the annual case numbers of DDLT and LDLT [10,11]. Currently, critically ill patients, defined as those with very high MELD scores, are more likely to receive DDLT than before, thus they have usually waited for a significant period after enrollment in the KONOS waiting list.…”

Section: Discussionmentioning

confidence: 99%

Absence of influence of the Korean MELD score-based liver allocation system on pretransplant MELD score in patients undergoing living donor liver transplantation

Kim

Hwang

Ahn

et al. 2021

Ann Liver Transplant

Self Cite

View full text Add to dashboard Cite

Background: Model for end-stage liver disease (MELD) score-based allocation system was started in 2016 in Korea. This study aimed to analyze the profiles of adult patients who underwent living donor liver transplantation (LDLT) in the pre-and post-MELD eras. Methods: This study was a retrospective double-arm analysis using a single-institution LDLT cohort. We compared the LDLT recipient profiles by focusing on pretransplant MELD score for 4 years before and after the introduction of the MELD scorebased allocation system. Patients without and with hepatocellular carcinoma (HCC) were categorized as Group A and B in the pre-MELD era and Group C and D in the post-MELD era, respectively. Results: The number of patients in Groups A, B, C and D was 615, 599, 704 and 713, respectively; and their MELD scores were 19.0±9.4, 11.2±5.6, 17.9±8.5 and 11.6±5.7, respectively. Clinical parameters of liver cirrhosis indicate that Group A had worse general conditions than Group C; and Groups B and D had similar general conditions. The comparative analysis between Groups A and C revealed the mean and median MELD scores as 19.0±9.4 and 17.9±8.5 (p=0.009), and 16 and 15 (p=0.077), respectively. The comparative analysis between Groups B and D revealed the mean and median MELD scores as 11.2±5.6 and 11.6±5.7 (p=0.14), and 9 and 9 (p=0.14), respectively. Conclusion: Median pretransplant MELD score was in the range of 15-16 in LDLT recipients without HCC and 9 in those with HCC. Introduction of MELD score in deceased donor organ allocation system resulted in a marginal decrease in the pretransplant MELD score in patients undergoing LDLT without HCC, but no change in those with HCC.

show abstract

“…Approximately 35,000 liver transplants were performed around the world in 2018 (6). Centers of excellence have reported large series with near-zero hospital mortality and >95% 1-year survival (7,8).…”

Section: -Standard Treatment Of End-stage Liver Disease and Acute Liver Failure (Alf) That Does Not Respond To Intensive Care Treatmentmentioning

confidence: 99%

Liver Transplantation is Never… Just Liver Transplantation

Özden¹

2021

csmedj

View full text Add to dashboard Cite

show abstract

Over 500 Liver Transplants Including More Than 400 Living-Donor Liver Transplants in 2019 at Asan Medical Center

Cited by 18 publications

References 25 publications

Usability of intraoperative cine‐portogram during liver transplantation in young pediatric patients with biliary atresia

Usability of intraoperative cine‐portogram during liver transplantation in young pediatric patients with biliary atresia

Absence of influence of the Korean MELD score-based liver allocation system on pretransplant MELD score in patients undergoing living donor liver transplantation

Liver Transplantation is Never… Just Liver Transplantation

Contact Info

Product

Resources

About