Liver transplantation with monosegments. Technical aspects and outcome: A meta‐analysis

Marcelo Enne, Lucio Pacheco‐Moreira, Elizabeth Balbi, Alexandre Cerqueira, Giuseppe Santalucia, José Manoel Martinho – 21 April 2005 – The shortage of organ donors for low‐weight liver transplant recipients, especially small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg, and further reduction could be necessary. Few articles address the issue of monosegmental liver transplantation.

Intragraft expression of recipient‐type ABO blood group antigens: Long‐term follow‐up and histological features after liver transplantation

Yuichi Tanaka, Hironori Haga, Hiroto Egawa, Tomoko Okuno, Aya Miyagawa‐Hayashino, Tatsuaki Tsuruyama, Michiyo Kambe, Hiroyuki Marusawa, Tsutomu Chiba, Toshiaki Manabe – 21 April 2005 – Several reports have shown detection of recipient‐type ABO histo‐blood group antigens (r‐ABOAg) in the liver allograft, which may represent either true intragraft chimerism or other events such as cell injury. Little is known about factors that affect the timing and extent of r‐ABOAg expression in the graft.

Living donor liver transplantation with noninvasive ventilation for exertional heat stroke and severe rhabdomyolysis

Ken‐ichi Takahashi, Kazuo Chin, Kohei Ogawa, Mureo Kasahara, Takanori Sakaguchi, Satoshi Hasegawa, Kensuke Sumi, Takaya Nakamura, Akira Tamaki, Michiaki Mishima, Takashi Nakamura, Koichi Tanaka – 21 April 2005 – A 16‐year‐old male with exertional heat stroke (EHS) had extensive hepatocellular damage, severe rhabdomyolysis, renal failure, and coma. Hemodiafiltration was started on day 2 and living donor liver transplantation was performed on day 3. He received continuous mechanical ventilation with intubation before and after the surgery.

Initial hepatic microcirculation correlates with early graft function in human orthotopic liver transplantation

Gero Puhl, Klaus‐D. Schaser, Daniel Pust, Katrin Köhler, Brigitte Vollmar, Michael D. Menger, Peter Neuhaus, Utz Settmacher – 21 April 2005 – Microcirculatory disturbances are an initial causative determinant in hepatic ischemia/reperfusion injury. The aim of this study was to assess sinusoidal perfusion during human liver transplantation using orthogonal polarization spectral imaging and to evaluate the significance of intraoperative microcirculation for early postoperative graft function.

Analysis of risk factors for tumor recurrence after liver transplantation for hepatocellular carcinoma: Key role of immunosuppression

Marco Vivarelli, Alessandro Cucchetti, Fabio Piscaglia, Giuliano La Barba, Luigi Bolondi, Antonino Cavallari, Antonio Daniele Pinna – 21 April 2005 – To confirm recent observations about the relationship between immunosuppression and the recurrence of hepatocellular carcinoma (HCC) after liver transplantation (LT), we retrospectively analyzed 70 consecutive HCC patients who underwent LT and received cyclosporine (CsA)–based immunosuppression.

Ablation therapy in containing extension of hepatocellular carcinoma: A simulative analysis of dropout from the waiting list for liver transplantation

Noriyo Yamashiki, Ryosuke Tateishi, Haruhiko Yoshida, Shuichiro Shiina, Takuma Teratani, Shinpei Sato, Norio Mine, Yuji Kondo, Takao Kawabe, Masao Omata – 21 April 2005 – The dropout from the waiting list for liver transplantation among patients with hepatocellular carcinoma (HCC) is reportedly as high as 12% to 40% per year, mostly due to tumor progression. Considering the scarcity of donor organs, it would be beneficial if we could retain them within the Milan criteria with a bridging therapy.

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