Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 홍근 | * |
dc.date.accessioned | 2019-11-19T16:31:11Z | - |
dc.date.available | 2019-11-19T16:31:11Z | - |
dc.date.issued | 2015 | * |
dc.identifier.issn | 0020-8868 | * |
dc.identifier.other | OAK-25756 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/252111 | - |
dc.description.abstract | The relationship between postoperative percentage fall of platelet (PLT) counts and graft dysfunction after living donor liver transplantation (LDLT) in recipients with small-forsize (SFS) graft has not been fully evaluated. We retrospectively studied 50 adult-to-adult LDLT recipients with a graft-to-recipient weight ratio of <0.8% between 1999 and 2011. Graft dysfunction was defined as the presence of hyperbilirubinemia, coagulopathy, or ascites on 3 consecutive days during the first postoperative week. Each clinical sign of dysfunction was assigned 1 point. Postoperative percentage fall in PLT counts, graft dysfunction score, and postoperative complications according to the Clavien-Dindo classification were investigated. Overall, 31 patients (62%) exhibited a PLT count fall of more than 50%, and 19 (38%) patients exhibited a PLT count fall of less than 50% at postoperative day (POD) 3. Receiver operating characteristic curve analysis indicated that at POD 3, the cutoff value of PLTcount fall was 56% for a graft dysfunction score of 2 or 3 (sensitivity, 70%; specificity, 63.3%). Fourteen of 20 patients (70%) with a dysfunction score of 2 or 3 and 11 of 30 patients (37%) with a dysfunction score of 0 or 1 showed a fall in PLTcount >56% at POD 3 (P = 0.021). Grade 2 to 5 complications were more observed in patients with a dysfunction score of 2 or 3 than in patients with a dysfunction score of 0 or 1 (P < 0.001). The fall of PLT count at POD 3.56% is an ominous sign that can predict the graft dysfunction after LDLT in recipients with SFS graft. | * |
dc.language | English | * |
dc.publisher | INT COLLEGE OF SURGEONS | * |
dc.subject | Thrombocytopenia | * |
dc.subject | Small-for-size graft | * |
dc.subject | Portal hypertension | * |
dc.subject | Small-for-size syndrome | * |
dc.subject | Graft dysfunction | * |
dc.title | Dysfunction in Patients With Small-for-Size Grafts After Living Donor Liver Transplantation | * |
dc.type | Article | * |
dc.relation.issue | 3 | * |
dc.relation.volume | 100 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 524 | * |
dc.relation.lastpage | 530 | * |
dc.relation.journaltitle | INTERNATIONAL SURGERY | * |
dc.identifier.doi | 10.9738/INTSURG-D-14-00016.1 | * |
dc.identifier.wosid | WOS:000351665100025 | * |
dc.author.google | Mori, Shozo | * |
dc.author.google | Park, Min-Su | * |
dc.author.google | Kim, Hyeyoung | * |
dc.author.google | Choi, Youngrok | * |
dc.author.google | Hong, Geun | * |
dc.author.google | Yi, Nam-Joon | * |
dc.author.google | Lee, Kwang-Woong | * |
dc.author.google | Suh, Kyung-Suk | * |
dc.contributor.scopusid | 홍근(55558687200) | * |
dc.date.modifydate | 20240429131310 | * |