Living donor liver transplantation with replacement of vena cava for Echinococcus alveolaris: A case report

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridBayramov, Nuru/0000-0001-6958-5412
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authoridyetisir, fahri/0000-0002-8216-1355
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidBayramov, Nuru/GOK-0042-2022
dc.contributor.authorMamedov, Ruslan
dc.contributor.authorNoyruzov, Namig
dc.contributor.authorBaskiran, Adil
dc.contributor.authorYetisir, Fahri
dc.contributor.authorUnal, Bulent
dc.contributor.authorAydin, Cemalettm
dc.contributor.authorBayramov, Nuru
dc.date.accessioned2024-08-04T20:38:05Z
dc.date.available2024-08-04T20:38:05Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractINTRODUCTION: There is no medical treatment for alveolar echinococceal disease (AED) of liver till now. Curative surgical resection is optimal treatment but in most advanced cases curative resection can't be done. Liver transplantation is accepted treatment option for advanced AED. AED in some case invade surrounding tissue especially inferior vena cava (IVC). Advanced AED with invasion to IVC can be treated with deceased liver transplantation. Although living donor liver transplantation is very difficult to perform in patients with advanced AED with resected IVC, it come into consideration, since there is very few cadaveric liver. PRESENTATION OF CASE: Here we present a case with advanced stage of AED of liver which cause portal hypertension and cholestasis. AED invaded surrounding tissue, right diaphragm, both lobes of liver and retrohepatic part of IVC. Invasion of IVC forced us to make resection of IVC and reconstruction with cryopreserved venous graft to reestablish blood flow. After that a living donor liver transplantation was done. DISCUSSION: Curative surgery is the first-choice option in all operable patients with AED of liver. Advanced stage of AED like chronic jaundice, liver abscess, sepsis, repeated attacks of cholangitis, portal hypertension, and Budd-Chiari syndrome may be an indication for liver transplantation. In some advanced stage AED during transplantation replacement of retrohepatic part of IVC could be done with artificial vascular graft, cadaveric aortic and caval vein graft. CONCLUSION: Although living donor liver transplantation with replacement of IVC is a very difficult operation, it should be considered in the management of advanced AED of liver with IVC invasion because of the rarity of deceased liver. (C) 2014 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.en_US
dc.identifier.doi10.1016/j.ijscr.2014.01.003
dc.identifier.endpage171en_US
dc.identifier.issn2210-2612
dc.identifier.issue3en_US
dc.identifier.pmid24584043en_US
dc.identifier.scopus2-s2.0-84896819369en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage169en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2014.01.003
dc.identifier.urihttps://hdl.handle.net/11616/96374
dc.identifier.volume5en_US
dc.identifier.wosWOS:000219536600017en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLiving donor liver transplantationen_US
dc.subjectEchinococcus alveolarisen_US
dc.subjectInferior vena cavaen_US
dc.titleLiving donor liver transplantation with replacement of vena cava for Echinococcus alveolaris: A case reporten_US
dc.typeArticleen_US

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