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SHR Neuro Cancer Cardio Lipid Metab Microb

Wente, MN; Thorn, M; Radeleff, B; Dei-Anane, G; Mehrabi, A; Sauer, P; Büchler, MW; Schmidt, J; Kraus, TW; Schemmer, P.
A routine liver transplantation in a patient with situs inversus: a case report and an overview of the literature.
Clin Transplant. 2006; 20(2):151-155 Doi: 10.1111/j.1399-0012.2005.00456.x (- Case Report)
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Leading authors Med Uni Graz: Schemmer Peter
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Abstract:: Liver transplantation (LT) in an adult with situs inversus (SI) is extremely rare and requires precise pre-operative management. A 48-yr-old male with SI suffering from alcoholic liver cirrhosis underwent LT at our institution in March 2003. Pre-operatively, liver anatomy was determined by CT scan, three-dimensional liver reconstruction and angiography. LT was performed using the Belghiti technique with side-to-side cavo-caval anastomosis, transplanting a graft from a donor with normal anatomy. Post-operatively, the patient recovered without major complications, except an epileptic event because of a central pontine myelinolysis, and he was discharged on the 25th post-operative day. Three months after surgery, the T-drain placed intra-operatively into the donor bile duct was removed; transplant perfusion and function were stable with an actual follow-up period of 24 months. LT in patients with SI is feasible. Pre-operative imaging with three-dimensional reconstruction is a beneficial tool for operation planning in patients with rare anatomic variations.
Find related publications in this database (using NLM MeSH Indexing): Hepatectomy - methods; Hepatic Encephalopathy - surgery; Humans -; Liver Cirrhosis, Alcoholic - complications; Liver Cirrhosis, Alcoholic - surgery; Liver Transplantation - methods; Male -; Middle Aged -; Situs Inversus - surgery; Treatment Outcome -
Find related publications in this database (Keywords): liver transplantation; situs inversus; surgery