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01-11-2008

Preoperative Assessment of the Risk Factors that Help to Predict the Prognosis After Living Donor Liver Transplantation

Authors: Ryuichi Yoshida, Takayuki Iwamoto, Takahito Yagi, Daisuke Sato, Yuzo Umeda, Kenji Mizuno, Susumu Shinoura, Hiroyoshi Matsukawa, Hiroaki Matsuda, Hiroshi Sadamori, Noriaki Tanaka

Published in: World Journal of Surgery | Issue 11/2008

Abstract

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 (≥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.

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Title: Preoperative Assessment of the Risk Factors that Help to Predict the Prognosis After Living Donor Liver Transplantation
Authors: Ryuichi Yoshida
Takayuki Iwamoto
Takahito Yagi
Daisuke Sato
Yuzo Umeda
Kenji Mizuno
Susumu Shinoura
Hiroyoshi Matsukawa
Hiroaki Matsuda
Hiroshi Sadamori
Noriaki Tanaka
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 11/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9715-5

At a glance: The STEP trials

Springer Medicine

Preoperative Assessment of the Risk Factors that Help to Predict the Prognosis After Living Donor Liver Transplantation

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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