Takayuki Iwamoto
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of Breast and Thyroid Surgery,
   Position   Assistant Professor
Article types 原著
Language English
Peer review Peer reviewed
Title Preoperative assessment of the risk factors that help to predict the prognosis after living donor liver transplantation.
Journal Formal name:World journal of surgery
Abbreviation:World J Surg
ISSN code:03642313/03642313
Domestic / ForeginForegin
Volume, Issue, Page 32(11),pp.2419-24
Author and coauthor Ryuichi Yoshida, Takayuki Iwamoto, Takahito Yagi, Daisuke Sato, Yuzo Umeda, Kenji Mizuno, Susumu Shinoura, Hiroyoshi Matsukawa, Hiroaki Matsuda, Hiroshi Sadamori, Noriaki Tanaka
Authorship 2nd author
Publication date 2008/11
Summary BACKGROUND:The purpose of this study was to analyze various risk factors and to assess the preoperative risk score, which can predict the prognosis after living donor liver transplantation (LDLT).METHODS:From February 2002 to August 2007, 84 adult to adult living donor liver transplantation donors and recipients were analyzed. First, the donor, recipient, and intraoperative factors were examined by univariate and multivariate analyses. We then gave a score of one point for each significant marginal factor (total point scores were called "risk score") and each risk score was examined by univariate analyses.RESULTS:Recipients with the donor age 50 years or older, Model for End-Stage Liver Disease (MELD) score (> or =21), and hepatitis C virus-positive status had a significantly poor survival. Recipients between the risk score of 0 vs. scores of 2 + 3 (p < 0.001, log-rank) and risk score of 1 vs. scores of 2 + 3 (p = 0.003, log-rank) had significantly different survival.CONCLUSIONS:Preoperative assessment of the risk score might help to predict recipient outcomes after living donor liver transplantation.
DOI 10.1007/s00268-008-9715-5
PMID 18795246