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タイトル: | 脳死肝腎同時移植により救命しえた生体肝移植後グラフト肝不全・腎不全の1例 |
その他のタイトル: | Simultaneous Hepatorenal Transplantation from a Brain-Dead Donor for Graft Dysfunction and Renal Insufficiency in a Liver Transplant Recipient : A Case Report |
著者: | 髙田, 秀明 小林, 恭 小川, 晃平 宮田, 仁美 澤田, 篤郎 赤松, 秀輔 根来, 宏光 齊藤, 亮一 寺田, 直樹 山崎, 俊成 井上, 貴博 寺本, 祐記 渋谷, 信介 羽賀, 博典 海道, 利実 上本, 伸二 小川, 修 |
著者名の別形: | Takada, Hideaki Kobayashi, Takashi Ogawa, Kohei Miyata, Hitomi Sawada, Atsuro Akamatsu, Shusuke Negoro, Hiromitsu Saito, Ryoichi Terada, Naoki Yamasaki, Toshinari Inoue, Takahiro Teramoto, Yuki Shibuya, Shinsuke Haga, Hironori Kaido, Toshimi Uemoto, Shinji Ogawa, Osamu |
キーワード: | Simultaneous hepatorenal transplantation Graft dysfunction Perioperative management |
発行日: | 31-Aug-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 8 |
開始ページ: | 313 |
終了ページ: | 318 |
抄録: | We report a case of lethal hepatorenal insufficiency in a 52-year-old man who received successful simultaneous hepatorenal transplantation from a deceased donor. The patient had undergone live-donor liver transplantation for type-C hepatitis and liver cirrhosis 11 years before he developed graft liver dysfunction due to recurrent viral hepatitis and cirrhosis. At that instance, he also developed end-stage renal dysfunction due to calcineurin inhibitor nephropathy and hepatorenal syndrome. Although he needed three open hemostases and abundant blood transfusion, he was withdrawn from continuous hemodiafiltration on the 55th day and discharged from the hospital on the 272nd day postoperatively. Simultaneous hepatorenal transplantation was reported to be associated with more favorable outcomes of graft function, lower rejection rates, but higher perioperative complication rates compared with liver transplantation alone in patients on hemodialysis. Particularly, close attention should be paid for hemostasis since patients have a hemorrhagic tendency until the recovery of graft liver function. |
著作権等: | 許諾条件により本文は2018/09/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_8_313 |
URI: | http://hdl.handle.net/2433/227091 |
PubMed ID: | 28889715 |
出現コレクション: | Vol.63 No.8 |
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