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178892

Factors Affecting Liver Regeneration in Donors’ Grafts in Living Donor Liver Transplant (LDLT). A Center Experience.

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Last updated: 23 Jan 2023

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Abstract

  Background: Liver regeneration for donors' graft in living donor liver transplantation (LDLT), is an example of liver regeneration in normal liver. In this study we spotted the light on liver regeneration in donors after LDLT, focusing on factors affecting it. Aim: To study the impact of different factors on liver regeneration in donors of living donor liver transplantation. Patients and methods: Between May 2009 and June 2013, 80 living donor liver transplants were performed in the liver transplant unit in EL-Maadi Armed Forces Hospital. All donors who provided liver grafts underwent volumetric spiral computed tomography (CT) scans preoperatively and postoperatively at time intervals of 1week and 1,3 and 6 months. Patients' demographics, surgical data, and postoperative outcomes were correlated with liver regeneration data. 63patients were males and 17 patients were females, with mean age 27.97yrs ±5.3. They provided {72} right lobe (RL) grafts and 8 right posterior sector (RP) grafts. Results: No donor operation was aborted and surgical morbidity rate was {33.75%}, mostly biliary. All RP donors achieved complete liver regeneration after 3 months; only four RL donors achieved complete liver regeneration at 6 months. Conclusion: In this study, it was found that there were factors affecting regeneration like age, gender of the patient and graft size. But no effect was found with many factors as peri- operative liver function tests, steatosis, BMI, operative time, blood loss, blood transfusion and postoperative complications.

DOI

10.21608/asjs.2016.178892

Keywords

Liver transplantation, liver regeneration, living donors

Authors

First Name

Morsi

Last Name

Mohamed

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Affiliation

General Surgery Department, Zagazig University.

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First Name

Wael

Last Name

Mansy

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Affiliation

General Surgery Department, Zagazig University.

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First Name

Yehia

Last Name

Attwa

MiddleName

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Affiliation

General Surgery, Dean of Faculty of Medicine, Zagazig University.

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First Name

Magdy

Last Name

Amin

MiddleName

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Affiliation

Liver Transplant Unit in Hepato-biliary Department, El-maadi Armed Forces Hospital

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First Name

Karim

Last Name

Boudjema

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Affiliation

Liver transplantation team in El-Maadi Armed Forces hospital. Professor of Hepato-Biliary Surgery and Liver Transplant, Rennes University, France.

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Volume

9

Article Issue

1

Related Issue

25659

Issue Date

2016-01-01

Receive Date

2021-06-21

Publish Date

2016-01-01

Page Start

11

Page End

21

Print ISSN

2090-7249

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https://asjs.journals.ekb.eg/article_178892.html

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https://asjs.journals.ekb.eg/service?article_code=178892

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2

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Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

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https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023