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23 August 2022: Original Paper

Management of Spontaneous Portosystemic Shunts in 231 Patients Who Underwent Living Donor Liver Transplantation: A Retrospective Study from a Single Center in Nagasaki, Japan

Takashi Hamada ABCDEF , Masaaki Hidaka ACDEF* , Akihiko Soyama ACDF , Takanobu Hara ADF , Hajime Imamura ADF , Hajime Matsushima ADF , Takayuki Tanaka ADF , Tomohiko Adachi ADF , Kengo Kanetaka DF , Susumu Eguchi ADF

DOI: 10.12659/AOT.936371

Ann Transplant 2022; 27:e936371

Table 1 Patient characteristics (ligation group vs non-ligation group).

Ligation (n=20)Non-ligation (n=43)P value
Age, years58 (50–72)58 (33–68)0.73
Sex, male12 (60.0)22 (48.9)0.59
Etiology
 HCV10 (50.0)19 (44.2)
 HBV3 (15.0)9 (20.9)
 Alcoholic cirrhosis4 (20.0)2 (4.7)
 PBC1 (5.0)4 (9.3)
 PSC0 (0)3 (7.0)
 Others2 (10.0)6 (14.0)
HCC8 (40.0)21 (48.8)0.59
Child-Pugh score11.5 (7–14)10 (7–14)0.49
MELD score17.5 (10–31)16 (8–38)0.99
Graft, left lobe10 (50.0)29 (67.4)0.27
GW/SLV,%45.2 (25.6–63.6)38.1 (26.4–60.3)0.04
Operative time, minutes740.5 (634–999)814 (503–1159)0.09
Blood loss, g4931 (1620–18 000)5880 (1,120–18 400)0.66
Splenectomy10 (50.0)27 (62.8)0.41
Postoperative hospital stay (days)48.5 (22–220)50 (19–112)0.74
Data are presented as n (%) or the median (range). HCV - hepatitis C virus; HBV - hepatitis B virus; PBC - primary biliary cirrhosis; PSC - primary sclerosing cholangitis; HCC: hepatocellular carcinoma; MELD - model for end-stage liver disease; GW - graft weight; SLV - standard liver volume.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358