Simultaneous Liver and Kidney Transplantation From Different Living Donors

Soh, Khay-Seng; Jeng, Long‐Bin; Yang, Horng Ren; Li, P. C.; Lee, C. C.; Poon, Kin Shing; Chen, T. H.; Yeh, Chun Chieh; Lai, Hsueh‐Chou; Su, Wen‐Pang; Peng, Cheng‐Yuan; Chen, Y. F.; Ho, Yung‐Jen

doi:10.1016/j.transproceed.2012.01.061

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…In the living donor setting, kidney and liver grafts are recommended to come from two different live donors. 127 It should be noted that combined liver and kidney transplantation is associated with more blood transfusions and has a relatively high frequency of postoperative complications that moderately impair short-term survival. 128 Furthermore, pretransplant renal impairment is a predictor of cardiac event(s) after LT. A complete cardiac assessment is indicated when renal impairment is found before the operation.…”

Section: Renal Systemmentioning

confidence: 99%

Review of anesthesia in liver transplantation

Jawan

Wang

Chen

et al. 2014

Acta Anaesthesiologica Taiwanica

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Liver transplantation (LT) is a well-accepted treatment modality of many end-stage liver diseases. The main issue in LT is the shortage of deceased donors to accommodate the needs of patients waiting for such transplants. Live donors have tremendously increased the pool of available liver grafts, especially in countries where deceased donors are not common. The main ethical concern of this procedure is the safety of healthy donors, who undergo a major abdominal surgery not for their own health, but to help cure others. The first part of the review concentrates on live donor selection, preanesthetic evaluation, and intraoperative anesthetic care for living liver donors. The second part reviews patient evaluation, intraoperative anesthesia monitoring, and fluid management of the recipient. This review provides up-to-date information to help improve the quality of anesthesia, and contribute to the success of LT and increase the long-term survival of the recipients.

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Section: Renal Systemmentioning

confidence: 99%

Review of anesthesia in liver transplantation

Jawan

Wang

Chen

et al. 2014

Acta Anaesthesiologica Taiwanica

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“…Performing face and hand transplantation sequentially, from separate donors, could be considered as a potential alternative to concomitant transplantation. Precedent for sequential, multiple transplants can be found in the organ transplant literature, as it can for simultaneous multiple transplants and we believe both approaches are worthy of further consideration and study [49,50]. Sequential transplant may offer benefits in terms of reduced operating time and blood loss at the time of initial surgery, however this would be offset against the risk inherent in an additional major surgical procedure, and the possibility that sensitization could occur to the first transplant leading to an accelerated immune response against the second.…”

Section: Future Directionsmentioning

confidence: 99%

Concomitant Face/Upper Extremity Allotransplantation

et al. 2012

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Concomitant vascularized composite tissue allotransplantation (VCA) offers single stage restoration of complex anatomical units in a manner that would be difficult, if not impossible to accomplish using conventional reconstructive techniques. However, such extensive and complex transplant procedures have considerable inherent risk. Two cases of concomitant face and hand transplantation have been performed to date, both with significant early complications leading to significant morbidity, and in one case, mortality. These cases highlight some of the unknowns in both perioperative and immunological management that must be addressed if this complex subset of VCA procedures is to be more widely offered. Only once these acute challenges can be reliably managed will focus turn to rehabilitation and long-term outcomes. If these issues can be overcome, concomitant face and upper extremity transplantation could offer patients who have suffered severe, complex injuries unprecedented options for restoration of function and form.

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Simultaneous Liver and Kidney Transplantation From Different Living Donors

Cited by 2 publications

References 15 publications

Review of anesthesia in liver transplantation

Review of anesthesia in liver transplantation

Concomitant Face/Upper Extremity Allotransplantation

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