群馬県における第一例目の生体肝移植の術後管理

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  • Postoperative Management of Living-Related Liver Transplantation. Our First Experience.

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We performed a living-related liver transplantation (LRLT) using a graft from the heterozygote father. Serum amino acid concentration was normalized within a day after transplantation without protein restriction and medication, and amino acid injection was started three days after transplantation. LRLT is still the major form of liver transplantation because of the scarcity of a cadaver donor pool in Japan. LRLT using a graft from a heterozygote donor might be a permissible treatment for Type II citrullinemia. Long-term observation may be necessary to reach a definite conclusion possible. We also discuss postoperative management of the patient.

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