The simultaneous kidney transplantation and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease does not seem to be associated with increased rates of comorbidity and complications.This out...The simultaneous kidney transplantation and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease does not seem to be associated with increased rates of comorbidity and complications.This outcome can efficiently be achieved when the indication and surgical approach of native nephrectomy are properly justified.展开更多
BACKGROUND Single-port laparoscopy has been used in a variety of abdominal operations.We report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver transp...BACKGROUND Single-port laparoscopy has been used in a variety of abdominal operations.We report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver transplantation.CASE SUMMARY A 28-year-old man volunteered for living liver donation to his daughter who was diagnosed with liver cirrhosis and portal hypertension after the Kasai procedure for biliary atresia.His body mass index was 20.5 kg/m2.Liver dynamic computed tomography showed:(1)Left lateral graft volume of 232.76 cm3 with a graft-torecipient weight ratio of 2.59%;and(2)Right hepatic artery derived from the superior mesenteric artery.A single-port access system was placed through a transumbilical incision,including four trocars:two 12-mm ports for a camera and endoscopic stapler and two 5-mm working ports.Liver parenchyma was dissected by a Harmonic and Cavitron Ultrasonic Surgical Aspirator,while bipolar was used for coagulation.The bile duct was transected above the bifurcation by indocyanine green fluorescence cholangiography.The specimen was retrieved from the umbilical incision.The total operation time was 4 h without blood transfusion.The final graft weight was 233.6 g with graft-torecipient weight ratio of 2.60%.The donor was discharged uneventfully on postoperative day 4.CONCLUSION Single-port laparoscopic left lateral sectionectomy is feasible in pediatric laparoscopic living donor liver transplantation in an experienced transplant center.展开更多
The coronavirus disease 2019(COVID-19)is caused by the newly discovered SARS-CoV-2.Hematopoietic stem cell transplantation(HSCT)is a high-risk procedure.The novelty of COVID-19 has created more uncertainty during all ...The coronavirus disease 2019(COVID-19)is caused by the newly discovered SARS-CoV-2.Hematopoietic stem cell transplantation(HSCT)is a high-risk procedure.The novelty of COVID-19 has created more uncertainty during all phases of HSCT.It is thought that HSCT patients taking immunosuppressive agents are more likely to contract COVID-19 than healthy individuals are.Appropriate care precautions should be taken with patients undergoing HSCT to minimize the risk of COVID-19,and appropriate treatment methods must be followed in patients infected with COVID-19.Malnutrition has become a significant problem in HSCT patients during the COVID-19 pandemic.The causes of malnutrition in HSCT patients are multifactorial.However,the most important reason is the decrease in energy and nutrient intake.The HSCT procedure can lead to many complications such as dysgeusia,mucositis,diarrhea,constipation,xerostomia and vomiting/nausea.Improving the nutritional status of HSCT patients by managing each of these special complications with an appropriate nutritional approach is essential for successful engraftment.This review aims to provide a comprehensive overview of the specific complications affecting the nutritional status of HSCT patients and their nutritional approach during the challenging COVID-19 pandemic.展开更多
文摘The simultaneous kidney transplantation and ipsilateral native nephrectomy for autosomal dominant polycystic kidney disease does not seem to be associated with increased rates of comorbidity and complications.This outcome can efficiently be achieved when the indication and surgical approach of native nephrectomy are properly justified.
基金Supported by Capital Research Project for Specialty Clinical Application,No.Z181100001718220.
文摘BACKGROUND Single-port laparoscopy has been used in a variety of abdominal operations.We report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver transplantation.CASE SUMMARY A 28-year-old man volunteered for living liver donation to his daughter who was diagnosed with liver cirrhosis and portal hypertension after the Kasai procedure for biliary atresia.His body mass index was 20.5 kg/m2.Liver dynamic computed tomography showed:(1)Left lateral graft volume of 232.76 cm3 with a graft-torecipient weight ratio of 2.59%;and(2)Right hepatic artery derived from the superior mesenteric artery.A single-port access system was placed through a transumbilical incision,including four trocars:two 12-mm ports for a camera and endoscopic stapler and two 5-mm working ports.Liver parenchyma was dissected by a Harmonic and Cavitron Ultrasonic Surgical Aspirator,while bipolar was used for coagulation.The bile duct was transected above the bifurcation by indocyanine green fluorescence cholangiography.The specimen was retrieved from the umbilical incision.The total operation time was 4 h without blood transfusion.The final graft weight was 233.6 g with graft-torecipient weight ratio of 2.60%.The donor was discharged uneventfully on postoperative day 4.CONCLUSION Single-port laparoscopic left lateral sectionectomy is feasible in pediatric laparoscopic living donor liver transplantation in an experienced transplant center.
文摘The coronavirus disease 2019(COVID-19)is caused by the newly discovered SARS-CoV-2.Hematopoietic stem cell transplantation(HSCT)is a high-risk procedure.The novelty of COVID-19 has created more uncertainty during all phases of HSCT.It is thought that HSCT patients taking immunosuppressive agents are more likely to contract COVID-19 than healthy individuals are.Appropriate care precautions should be taken with patients undergoing HSCT to minimize the risk of COVID-19,and appropriate treatment methods must be followed in patients infected with COVID-19.Malnutrition has become a significant problem in HSCT patients during the COVID-19 pandemic.The causes of malnutrition in HSCT patients are multifactorial.However,the most important reason is the decrease in energy and nutrient intake.The HSCT procedure can lead to many complications such as dysgeusia,mucositis,diarrhea,constipation,xerostomia and vomiting/nausea.Improving the nutritional status of HSCT patients by managing each of these special complications with an appropriate nutritional approach is essential for successful engraftment.This review aims to provide a comprehensive overview of the specific complications affecting the nutritional status of HSCT patients and their nutritional approach during the challenging COVID-19 pandemic.
