Delirium is one of the main causes increased length intensive care unit (ICU) stay among patients who have undergone living donor liver transplantation (LDLT). We aimed to evaluate risk factors for delirium after LDLT as well investigate whether impacts ICU and hospital stay.Seventy-eight underwent during period January 2010 December 2012 at a single medical center were enrolled. The Confusion Assessment Method Intensive Care Unit (CAM-ICU) scale was used diagnose delirium. Preoperative,...

Background Hepatocellular carcinoma (HCC) is one of the most common malignant tumors worldwide and liver resection only potential curative treatment option for those patients. Postoperative complications specific to elderly surgical patients such as delirium will be increasingly relevant in coming decades. Herein, we aimed investigate risk factors postoperative who have received hepatectomy HCC. Methods This a single medical center observational study subjects comprised 401 individuals...

Hepatic resection is the gold-standard treatment for hepatocellular carcinoma (HCC). In East Asia, however, only 20 % of patients with HCC are eligible hepatectomy [1]. a small subset patients, surgical using conventional techniques extremely challenging. these marginal cases, tumor size, extension lesion, and proximity to critical structures important factors determining how proceed. For tumors considered unresectable by means, extracorporeal hepatic autotransplantation (ECHRA) has been...

Donor safety and preservation of donor health after living liver donation are paramount importance. In addition, the preoperative mental state a is an important factor in determining psychological impact hepatectomy. Thus, we aimed to explore status donors We enrolled 60 who were scheduled undergo hepatectomy during period January 2014 March 2015 at single medical center. Mental was measured before 3 months surgery using self-report questionnaires, namely Center for Epidemiologic Studies...

Abstract Background Many factors cause hospital mortality (HM) after liver transplantation (LT). Methods We performed a retrospective research in single center from October 2005 to June 2019. The study included 463 living donor LT patients. They were divided into no-HM group (n = 433, 93.52%) and an HM 30, 6.48%). used logistic regression analysis determine how clinical features surgical volume affected HM. regrouped patients based on periods of analyzed the features. Results Multivariate...

Abstract Aims The use of extended criteria donors is a routine practice that sometimes involves extracorporeal membrane oxygenation (ECMO) in donations after cardiac death or brain death. Methods We performed retrospective study single center from January 2006 to December 2019. included 90 deceased donor liver transplants. patients were divided into three groups: the donation (DBD) group ( n = 58, 64.4%), DBD with ECMO 11, 12.2%) and (DCD) 21, 23.3%). Results There no significant differences...

BACKGROUND:We examine how residual liver volume (RLV) and hepatic steatosis (HS) of living donors affect the regeneration process clinical outcomes. MATERIAL AND METHODS:We longitudinally studied 58 who underwent right-lobe hepatectomy during period February 2014 to 2015 at a single medical institution. The patients were classified based on RLV (30–35%, 35–40%, 40–50%) subgroups HS (<10%, 10–30%, 30–50%) subgroups. Clinical parameters such as outcome, volumetric recovery (LVR,%) rate remnant...

Objectives We investigated whether chronological changes in portal flow and clinical factors play a role the liver regeneration (LR) process after right donor-hepatectomy. Materials methods Participants this prospective study comprised 58 donors who underwent donor-hepatectomy during period February 2014 to 2015 at single medical institution. LR was estimated using two equations: remnant left (RLL) growth (%) volumetric recovery (LVR) (%). Donors were classified into an excellent (ER) group...

Artificial vessel grafts are used for outflow reconstruction in living donor liver transplantation (LDLT). We report a very rare case of invasion an artificial vascular graft into the duodenal bulb after LDLT. A 54-year-old man underwent LDLT August 2012. right hemiliver without middle hepatic vein was as graft. The segment V created by anatomizing to inferior vena cava. During outpatient follow-up, patient complained acid regurgitation but did not experience abdominal pain. Panendoscopy...

Abstract The purpose of this study is to evaluate the prognostic value preoperative Wisteria floribunda agglutinin-positive Mac-2 binding protein (WFA+-M2BP) in predicting overall survival for patients with hepatitis B- and C-related early-stage hepatocellular carcinoma (ESHCC) after liver resection. Post-operative rates were compared according WFA+-M2BP level tumor stage. Six hundred ten identified 198 removed application exclusion criteria; median follow-up time was 4.33 years,...

/Objective: The aim of this study was to report a single-institution experience involving Glissonian sheath-to-duct method for biliary reconstruction in living donor liver transplantation, focusing on the association between surgical techniques and stricture rates. Three hundred twenty adult right lobar transplantation procedures were analyzed through comparison 200 (GD) reconstructions 120 duct-to-duct (DD) anastomosis. At mean follow-up period 60.8 months, GD group had significantly lower...

Donor safety and preservation of donor health after living liver donation are paramount importance. Diarrhea has a significant influence on gastrointestinal quality life among donors who have undergone hepatectomy. Thus, we aimed to investigate predictors diarrhea hepatectomy its impact in donors.We retrospectively examined the medical records 204 underwent during period January 2010 June 2013 at single center. was defined as passing three or more liquid stools per day. The Chinese version...

History of alcohol abuse is a predictive factor for posttransplant delirium. We aimed to investigate whether preoperative abstinence was associated with delirium in liver transplant recipients alcohol-related cirrhosis.From January 2014 December 2019, 84 patients cirrhosis who received living donor were retrospectively reviewed and divided into group (n = 46, 54.8%) nondelirium 38, 45.2%) using the Richmond Agitation- Sedation Scale Confusion Assessment Method Intensive Care Unit.In versus...

Preservation of renal function is an important issue after living donor liver transplant. We aimed to examine the protective efficacy telbivudine in hepatitis B virus-infected patients transplant.In this retrospective study, we compared 18 who received 600 mg once per day and 23 entecavir 1 Clinical data were obtained through chart review included Model for End-Stage Liver Disease score pre- postoperative aspartate aminotransferase, alanine creatinine levels estimated glomerular filtration...

Post living donor liver transplantation (LDLT) biliary complications can be troublesome over the post-operative course of patients, especially those with recurrent cholangitis or choledocholithiasis. Thus, in this study, we aimed to evaluate risks and benefits Roux-en-Y hepaticojejunostomy (RYHJ) performed after LDLT as a last option deal post-LDLT complications.Retrospectively, 594 adult LDLTs single medical center Changhua, Taiwan from July 2005 September 2021, 22 patients underwent RYHJ....

Abstract Cosmetic appearance is a major concern for living donors. However, little known about the impact of surgical scar on body image changes in liver The aim this study was to identify potential factors that cause displeasing upper midline incision scar, and evaluate overall satisfaction regarding scarring after donor hepatectomy. Donors who underwent right lobe hepatectomy were recruited. Exclusion criteria included reoperation, refusal participate, lost follow-up. All donors invited...

The Milan criteria are the universal standard of liver transplantation for hepatocellular carcinoma (HCC). Numerous expanded have shown outcomes as good criteria. In Taiwan, living donor transplant (LDLT) accounts majority transplantations due to organ shortages.We retrospectively enrolled 155 patients who underwent LDLT HCC from July 2005 June 2017 and were followed up at least 2 years. Patients beyond (n = 78) grouped recurrent or nonrecurrent, we established new based on these...