Retrospective observation of therapeutic effects of adult auxiliary partial living donor liver transplantation on postpartum acute liver failure: A case report

doi:10.3748/wjg.v21.i9.2840

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastroenterol. Mar 7, 2015; 21(9): 2840-2847
Published online Mar 7, 2015. doi: 10.3748/wjg.v21.i9.2840

Table 1 Important parameters of the donor and the recipient

	Height (cm)	Weight (kg)	Estimated standard liver volume (mL)	CT measured liver volume (mL)	Maximum donated liver volume (mL)	Minimum liver volume needed (mL)	Actual donated liver volume (mL)	GRWR	GW/ESLV¹
Recipient	166	75.0	1306.05	-	-	750	-	0.80	49%
Donor	165	62.5	1277.55	1334.124	821.809	350	600	-	50%

¹Estimated standard liver volume (ESLV) = 706.2 × body surface area (m²) + 2.4, reference[9]; “-”: Unmeasured; CT: Computed tomography; GW: Graft weight; GRWR: Graft-to-recipient body weight ratio.

Table 2 Changes of programmed liver biopsy and hepatitis B virus-M in both donor and recipient liver lobes

Time point	Serum HBV-M		Degree of hepatocyte necrosis		Hepatic tissue HBV-M
Time point	Donor	Recipient	Donor liver	Recipient residual liver	Donor liver	Recipient residual liver
Preoperation	(-)	HBV-DNA(+)¹, HBsAg(+), HBeAg(+), HBcAg(+)	0%	-	HBsAg(-)	HBsAg(+++)
Preoperation	(-)	HBV-DNA(+)¹, HBsAg(+), HBeAg(+), HBcAg(+)	0%	-	HBcAg(-)	HBcAg(+++)
Intraoperation	(-)	HBsAg(+)	Few	90%	HBsAg(-)	HBsAg(+++)
Intraoperation	(-)	HBsAg(+)	Few	90%	HBcAg(-)	HBcAg(+++)
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	0%	10%	HBsAg(-)	HBsAg(+)
10 d	(-)	HBV-DNA(-)², HBsAg(+)	0%	10%	HBcAg(+)	HBcAg(-)
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBsAg(-)	HBsAg(-)
30 d	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBcAg(-)	HBcAg(-)
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBsAg(-)	HBsAg(+)
90 d	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBcAg(-)	HBcAg(-)
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBsAg(-)	Fail to sample
180 d	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBcAg(-)	Fail to sample
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBsAg(-)	HBsAg(-)
1 yr	(-)	HBV-DNA(-)², HBsAg(+)	0%	0%	HBcAg(-)	HBcAg(-)
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
2 yr	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
3 yr	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
4 yr	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
Postoperation	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-
5 yr	(-)	HBV-DNA(-)², HBsAg(+)	-	-	-	-

Hepatitis B virus (HBV)-DNA was detected quantitatively:

¹2.06 × 10⁷copies/mL,

²< 5 × 10² copies/ mL. -: Undetected; HBsAg: Hepatitis B surface antigen; HBeAg: Hepatitis B e antigen; HBcAg: Hepatitis B core antibody.

Citation: Li CY, Lai W, Lu SC. Retrospective observation of therapeutic effects of adult auxiliary partial living donor liver transplantation on postpartum acute liver failure: A case report. World J Gastroenterol 2015; 21(9): 2840-2847
URL: https://www.wjgnet.com/1007-9327/full/v21/i9/2840.htm
DOI: https://dx.doi.org/10.3748/wjg.v21.i9.2840