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dc.contributor.author髙田, 秀明ja
dc.contributor.author小林, 恭ja
dc.contributor.author小川, 晃平ja
dc.contributor.author宮田, 仁美ja
dc.contributor.author澤田, 篤郎ja
dc.contributor.author赤松, 秀輔ja
dc.contributor.author根来, 宏光ja
dc.contributor.author齊藤, 亮一ja
dc.contributor.author寺田, 直樹ja
dc.contributor.author山崎, 俊成ja
dc.contributor.author井上, 貴博ja
dc.contributor.author寺本, 祐記ja
dc.contributor.author渋谷, 信介ja
dc.contributor.author羽賀, 博典ja
dc.contributor.author海道, 利実ja
dc.contributor.author上本, 伸二ja
dc.contributor.author小川, 修ja
dc.contributor.alternativeTakada, Hideakien
dc.contributor.alternativeKobayashi, Takashien
dc.contributor.alternativeOgawa, Koheien
dc.contributor.alternativeMiyata, Hitomien
dc.contributor.alternativeSawada, Atsuroen
dc.contributor.alternativeAkamatsu, Shusukeen
dc.contributor.alternativeNegoro, Hiromitsuen
dc.contributor.alternativeSaito, Ryoichien
dc.contributor.alternativeTerada, Naokien
dc.contributor.alternativeYamasaki, Toshinarien
dc.contributor.alternativeInoue, Takahiroen
dc.contributor.alternativeTeramoto, Yukien
dc.contributor.alternativeShibuya, Shinsukeen
dc.contributor.alternativeHaga, Hironorien
dc.contributor.alternativeKaido, Toshimien
dc.contributor.alternativeUemoto, Shinjien
dc.contributor.alternativeOgawa, Osamuen
dc.date.accessioned2017-09-13T02:23:01Z-
dc.date.available2017-09-13T02:23:01Z-
dc.date.issued2017-08-31-
dc.identifier.issn0018-1994-
dc.identifier.urihttp://hdl.handle.net/2433/227091-
dc.description.abstractWe 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 Although he needed three open hemostases and abundant blood transfusion, he was withdrawn from continuous hemodiafiltration on the 55th day and discharged from the hospital on the 272nd day postoperatively.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.en
dc.format.mimetypeapplication/pdf-
dc.language.isojpn-
dc.publisher泌尿器科紀要刊行会ja
dc.rights許諾条件により本文は2018/09/01に公開ja
dc.subjectSimultaneous hepatorenal transplantationen
dc.subjectGraft dysfunctionen
dc.subjectPerioperative managementen
dc.subject.ndc494.9-
dc.title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ja
dc.title.alternativeSimultaneous Hepatorenal Transplantation from a Brain-Dead Donor for Graft Dysfunction and Renal Insufficiency in a Liver Transplant Recipient : A Case Reporten
dc.typedepartmental bulletin paper-
dc.type.niitypeDepartmental Bulletin Paper-
dc.identifier.ncidAN00208315-
dc.identifier.jtitle泌尿器科紀要ja
dc.identifier.volume63-
dc.identifier.issue8-
dc.identifier.spage313-
dc.identifier.epage318-
dc.textversionpublisher-
dc.sortkey02-
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院肝胆膵移植外科ja
dc.address京都大学医学部附属病院臓器移植医療部ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address京都大学医学部附属病院病理診断科ja
dc.address京都大学医学部附属病院病理診断科ja
dc.address京都大学医学部附属病院病理診断科ja
dc.address京都大学医学部附属病院肝胆膵移植外科・京都大学医学部附属病院臓器移植医療部ja
dc.address京都大学医学部附属病院肝胆膵移植外科・京都大学医学部附属病院臓器移植医療部ja
dc.address京都大学医学部附属病院泌尿器科ja
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Hepatobiliary, Pancreas and Transplant Surgery, Kyoto University Hospitalen
dc.address.alternativeTransplant Unit, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Diagnostic Pathology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Diagnostic Pathology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Diagnostic Pathology, Kyoto University Hospitalen
dc.address.alternativeThe Department of Hepatobiliary, Pancreas and Transplant Surgery, Kyoto University Hospital; Transplant Unit, Kyoto University Hospitalen
dc.address.alternativeThe Department of Hepatobiliary, Pancreas and Transplant Surgery, Kyoto University Hospital; Transplant Unit, Kyoto University Hospitalen
dc.address.alternativeThe Department of Urology, Kyoto University Hospitalen
dc.identifier.pmid28889715-
dc.identifier.selfDOI10.14989/ActaUrolJap_63_8_313-
dcterms.accessRightsopen access-
datacite.date.available2018-09-01-
dc.identifier.pissn0018-1994-
dc.identifier.jtitle-alternativeActa urologica Japonicala
dc.identifier.jtitle-alternativeHinyokika Kiyoen
Appears in Collections:Vol.63 No.8

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