TY - JOUR
T1 - Polycystic Liver Disease and Liver Transplantation
T2 - Single-Institution Experience
AU - Taner, B.
AU - Willingham, D. L.
AU - Hewitt, W. R.
AU - Grewal, H. P.
AU - Nguyen, J. H.
AU - Hughes, C. B.
PY - 2009/11/1
Y1 - 2009/11/1
N2 - Adult polycystic liver disease (PLD) can cause massive hepatomegaly leading to pain, caval obstruction, and hemorrhage. Many surgical techniques including aspiration, fenestration, and resection have been used to treat PLD. In addition to substantial morbidity and mortality, conservative surgery may have limited success, and palliation may be temporary. With improved results of liver transplantation, it has become the definitive treatment for PLD. We retrospectively reviewed our experience in patients with PLD between 1998 and 2007. Thirteen patients underwent liver only or liver-kidney transplantation. All surgical procedures were performed with preservation of the recipient inferior vena cava and without venovenous bypass (piggyback technique). Our patients experienced a high rate of perioperative morbidity. However, long-term patient and graft survival were excellent.
AB - Adult polycystic liver disease (PLD) can cause massive hepatomegaly leading to pain, caval obstruction, and hemorrhage. Many surgical techniques including aspiration, fenestration, and resection have been used to treat PLD. In addition to substantial morbidity and mortality, conservative surgery may have limited success, and palliation may be temporary. With improved results of liver transplantation, it has become the definitive treatment for PLD. We retrospectively reviewed our experience in patients with PLD between 1998 and 2007. Thirteen patients underwent liver only or liver-kidney transplantation. All surgical procedures were performed with preservation of the recipient inferior vena cava and without venovenous bypass (piggyback technique). Our patients experienced a high rate of perioperative morbidity. However, long-term patient and graft survival were excellent.
UR - http://www.scopus.com/inward/record.url?scp=71749102012&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=71749102012&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2009.05.043
DO - 10.1016/j.transproceed.2009.05.043
M3 - Article
C2 - 19917384
AN - SCOPUS:71749102012
VL - 41
SP - 3769
EP - 3771
JO - Transplantation Proceedings
JF - Transplantation Proceedings
SN - 0041-1345
IS - 9
ER -