POSTOPERATIVE MANAGEMENT OF LIVING RELATED LIVER TRANSPLANTATION : OUR FIRST EXPERIENCE

Mureo Kasahara; Susumu Ohwada; Takayuki Takeichi; Chieri Kimura; Yutaka Sunose; Hirofumi Tsutsumi; Daisuke Yoshinari; Hisashi Shimizu; Susumu Kawate; Naoki Tomizawa; Yoshiyuki Kawashima; Izumi Takeyoshi; Kimie Yonemura; Hiroaki Kaneko; Takeshi Tomomasa; Akihiro Morikawa; Motoi Kanou; Yukitaka Isa; Fumio Kunimoto; Toshio Fukusato; Kouji Fukumura; Koujirou Yamamoto; Katsuhiro Asonume; Yukihiro Inomata; Kouichi Tanaka; Yasuo Morishita

doi:10.2974/kmj.50.165

Mureo Kasahara, Susumu Ohwada, Takayuki Takeichi, Chieri Kimura, Yutaka Sunose, Hirofumi Tsutsumi, Daisuke Yoshinari, Hisashi Shimizu, Susumu Kawate, Naoki Tomizawa, Yoshiyuki Kawashima, Izumi Takeyoshi, Kimie Yonemura, Hiroaki Kaneko, Takeshi Tomomasa, Akihiro Morikawa, Motoi Kanou, Yukitaka Isa, Fumio Kunimoto, Toshio Fukusato, Kouji Fukumura, Koujirou Yamamoto, Katsuhiro Asonume, Yukihiro Inomata, Kouichi Tanaka, Yasuo Morishita

Author information

Mureo Kasahara
Second Department of Surgery, Gunma University Hospital
Susumu Ohwada
Second Department of Surgery, Gunma University Hospital
Takayuki Takeichi
Second Department of Surgery, Gunma University Hospital
Chieri Kimura
Second Department of Surgery, Gunma University Hospital
Yutaka Sunose
Second Department of Surgery, Gunma University Hospital
Hirofumi Tsutsumi
Second Department of Surgery, Gunma University Hospital
Daisuke Yoshinari
Second Department of Surgery, Gunma University Hospital
Hisashi Shimizu
Second Department of Surgery, Gunma University Hospital
Susumu Kawate
Second Department of Surgery, Gunma University Hospital
Naoki Tomizawa
Second Department of Surgery, Gunma University Hospital
Yoshiyuki Kawashima
Second Department of Surgery, Gunma University Hospital
Izumi Takeyoshi
Second Department of Surgery, Gunma University Hospital
Kimie Yonemura
Department of Neuropsychiatry, Gunma University Hospital
Hiroaki Kaneko
Department of Pediatrics, Gunma University Hospital
Takeshi Tomomasa
Department of Pediatrics, Gunma University Hospital
Akihiro Morikawa
Department of Pediatrics, Gunma University Hospital
Motoi Kanou
Intensive care unit, Gunma University Hospital
Yukitaka Isa
Intensive care unit, Gunma University Hospital
Fumio Kunimoto
Intensive care unit, Gunma University Hospital
Toshio Fukusato
Division of diagnostic Pathology, Gunma University Hospital
Kouji Fukumura
Department of laboratory medicine, Gunma University Hospital
Koujirou Yamamoto
Department of Clinical Pharmacology, Gunma University school of medicine
Katsuhiro Asonume
Department of Transplant Surgery, Kyoto University Hospital
Yukihiro Inomata
Department of Transplant Surgery, Kyoto University Hospital
Kouichi Tanaka
Department of Transplant Surgery, Kyoto University Hospital
Yasuo Morishita
Second Department of Surgery, Gunma University Hospital

Keywords: Living-related liver transplantation, Postoperative management

JOURNAL FREE ACCESS

2000 Volume 50 Issue 2 Pages 165-169

DOI https://doi.org/10.2974/kmj.50.165

Details

Abstract

We performed a living-related liver transplantation (LRLT) using a graft from the heterozygote father. Serum amino acid concentration was normalized within a day after transplantation without protein restriction and medication, and amino acid injection was started three days after transplantation. LRLT is still the major form of liver transplantation because of the scarcity of a cadaver donor pool in Japan. LRLT using a graft from a heterozygote donor might be a permissible treatment for Type II citrullinemia. Long-term observation may be necessary to reach a definite conclusion possible. We also discuss postoperative management of the patient.

Corresponding author

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