{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1363670320923086464.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1111/ctr.12162"}},{"identifier":{"@type":"URI","@value":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fctr.12162"}},{"identifier":{"@type":"URI","@value":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/ctr.12162"}}],"dc:title":[{"@value":"Adult left liver transplantation from split livers and living donors: a 14‐year single‐center experience"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>In an era of organ scarcity, the use of left liver grafts for adult recipients could increase the access to liver transplantation (<jats:styled-content style=\"fixed-case\">LT</jats:styled-content>). The aim of this study was to evaluate the results in a single‐center series of adult left <jats:styled-content style=\"fixed-case\">LT</jats:styled-content> over a 14‐yr period.</jats:p></jats:sec><jats:sec><jats:title>Patients and methods</jats:title><jats:p>Between March 1996 and March 2010, 30 adult patients underwent <jats:styled-content style=\"fixed-case\">LT</jats:styled-content> with a left liver obtained from 16 split cadaveric livers and 14 living donors (<jats:styled-content style=\"fixed-case\">LD</jats:styled-content>). Portal vein inflow modulation was performed in selected cases.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 19 (63.3%) grafts had early dysfunction leading to graft failure in six cases (20%). One third of the grafts developed small‐for‐size syndrome (<jats:styled-content style=\"fixed-case\">SFSS</jats:styled-content>). One‐yr patient and graft survival was 80% and 76.7%, respectively. Regarding two successive periods, one‐yr patient and graft survival dramatically increased from 62.5% to 100% (p = 0.01) and 56.2% to 100% (p = 0.002), respectively. Multivariate analysis disclosed that completion of a portosystemic shunt and the occurrence of post‐operative ascites were significantly associated with graft failure.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our results support that improved surgical techniques and careful patient selection can lead to a safe use of left livers for transplantation in adult recipients. Inflow modulation could be performed in very selected cases.</jats:p></jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1383670320923086468","@type":"Researcher","foaf:name":[{"@value":"Olivier Boillot"}],"jpcoar:affiliationName":[{"@value":"Liver Transplant Unit Department of Hepatobiliary‐Pancreatic Surgery and Hepatology Lyon France"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320923086469","@type":"Researcher","foaf:name":[{"@value":"Pierre Sagnard"}],"jpcoar:affiliationName":[{"@value":"Department of Anesthesia and Intensive Care Edouard Herriot hospital Lyon France"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320923086466","@type":"Researcher","foaf:name":[{"@value":"Olivier Guillaud"}],"jpcoar:affiliationName":[{"@value":"Liver Transplant Unit Department of Hepatobiliary‐Pancreatic Surgery and Hepatology Lyon France"}]},{"@id":"https://cir.nii.ac.jp/crid/1380861292738127104","@type":"Researcher","foaf:name":[{"@value":"Charles‐Eric Ber"}],"jpcoar:affiliationName":[{"@value":"Department of Anesthesia and Intensive Care Edouard Herriot hospital Lyon France"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320923086465","@type":"Researcher","foaf:name":[{"@value":"Michel Pouyet"}],"jpcoar:affiliationName":[{"@value":"Liver Transplant Unit Department of Hepatobiliary‐Pancreatic Surgery and Hepatology Lyon France"}]},{"@id":"https://cir.nii.ac.jp/crid/1383670320923086464","@type":"Researcher","foaf:name":[{"@value":"Jérôme Dumortier"}],"jpcoar:affiliationName":[{"@value":"Liver Transplant Unit Department of Hepatobiliary‐Pancreatic Surgery and Hepatology Lyon France"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09020063"},{"@type":"EISSN","@value":"13990012"}],"prism:publicationName":[{"@value":"Clinical Transplantation"}],"dc:publisher":[{"@value":"Wiley"}],"prism:publicationDate":"2013-06-21","prism:volume":"27","prism:number":"4","prism:startingPage":"571","prism:endingPage":"581"},"reviewed":"false","dc:rights":["http://onlinelibrary.wiley.com/termsAndConditions#vor"],"url":[{"@id":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fctr.12162"},{"@id":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/ctr.12162"}],"createdAt":"2013-06-21","modifiedAt":"2023-10-03","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360567181220448640","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Small-for-size syndrome in living-donor liver transplantation using a left lobe graft"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1111/ctr.12162"},{"@type":"CROSSREF","@value":"10.1007/s00595-014-0945-x_references_DOI_WzUfWIsXuMar4ER12dEdEnkvQud"}]}