BACKGROUND: There are few reports of postoperative renal impairment after living donor liver transplantation (LDLT). METHODS: We reviewed 246 LDLT recipients to examine the effects of postoperative renal impairment on the results of LDLT. RESULTS: The incidence of renal impairment and the requirements for postoperative renal replacement therapy were 29% and 9%, respectively. Intraoperative blood loss (P<.0001) and preoperative serum creatinine (P=.0002) were significant independent risk factors for the development of early renal dysfunction. Patients who required renal replacement therapy had a lower survival rate (P=.01). CONCLUSIONS: We identified the risk factors for postoperative renal impairment, providing useful metrics to establish a treatment strategy for high risk liver transplant patients.
BACKGROUND: There are few reports of postoperative renal impairment after living donor liver transplantation (LDLT). METHODS: We reviewed 246 LDLT recipients to examine the effects of postoperative renal impairment on the results of LDLT. RESULTS: The incidence of renal impairment and the requirements for postoperative renal replacement therapy were 29% and 9%, respectively. Intraoperative blood loss (P<.0001) and preoperative serum creatinine (P=.0002) were significant independent risk factors for the development of early renal dysfunction. Patients who required renal replacement therapy had a lower survival rate (P=.01). CONCLUSIONS: We identified the risk factors for postoperative renal impairment, providing useful metrics to establish a treatment strategy for high risk liver transplant patients.
Authors: Maja Segedi; Andrzej K Buczkowski; Charles H Scudamore; Eric M Yoshida; Alison C Harris; Kristin DeGirolamo; Stephen W Chung Journal: HPB (Oxford) Date: 2013-02-01 Impact factor: 3.647
Authors: Mi Hye Park; Haeng Seon Shim; Won Ho Kim; Hyo-Jin Kim; Dong Joon Kim; Seong-Ho Lee; Chung Su Kim; Mi Sook Gwak; Gaab Soo Kim Journal: PLoS One Date: 2015-08-24 Impact factor: 3.240
Authors: Min Suk Chae; Nuri Lee; Da Hye Park; Jisoo Lee; Hyun Sik Jung; Chul Soo Park; Jaemin Lee; Jong Ho Choi; Sang Hyun Hong Journal: Medicine (Baltimore) Date: 2017-08 Impact factor: 1.889