Living Donor Liver Transplantation in an Elderly Recipient with Preserved Performance Status : A Case Report

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  • Shimagaki Tomonari
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yoshizumi Tomoharu
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Kimura Koichi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Motomura Takashi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Nagatsu Akihisa
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Okabe Hirohisa
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Itoh Shinji
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Harada Noboru
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Harimoto Norifumi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Ikegami Toru
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Uchiyama Hideaki
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Soejima Yuji
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Maehara Yoshihiko
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • 高齢者の非代償性肝硬変に対して生体肝移植を施行し得た1例

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Abstract

Background : Living donor liver transplantation (LDLT) in an elderly recipient is controversial. Case presentation : We report a case of LDLT in a 74-year-old female who had decompensated liver cirrhosis and hepatocellular carcinoma (HCC). She was the oldest recipient who received LDLT in Japan ever. She was rejected for LDLT at a nearby hospital because of her age.We decided to perform LDLT because her general condition was good (the Eastern Cooperative Oncology Group (ECOG) performance status 2 ). The surgery was uncomplicated and the postoperative course was uneventful, and the patient was discharged 35 days after the surgery. Currently she is living at home, and she has maintained a good quality of life. Conclusions : We believe that a recipient in good general condition is capable of undergoing LDLT despite advanced age.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 107 (6), 115-120, 2016-06-25

    Fukuoka Medical Association

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