Jiang WW, Zhang F, Pu LY, Wang XH, Kong LB. Liver transplantation for polycystic liver with massive hepatomegaly: A case report. World J Gastroenterol 2009; 15(40): 5112-5113 [PMID: 19860009 DOI: 10.3748/wjg.15.5112]
Corresponding Author of This Article
Lian-Bao Kong, PhD, MD, Department of Liver Transplantation Center, The First Affiliated Hospital of Nanjing Medical University, The National Institute of Living Donor Liver Transplantation, 300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China. lbkong@njmu.edu.cn
Article-Type of This Article
Case Report
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World J Gastroenterol. Oct 28, 2009; 15(40): 5112-5113 Published online Oct 28, 2009. doi: 10.3748/wjg.15.5112
Liver transplantation for polycystic liver with massive hepatomegaly: A case report
Wei-Wei Jiang, Feng Zhang, Li-Yong Pu, Xue-Hao Wang, Lian-Bao Kong
Wei-Wei Jiang, Department of Neonatal Surgery, Nanjing Children’s Hospital Affiliated to Nanjing Medical University, 72 Guangzhou Road, Nanjing 210008, Jiangsu Province, China
Feng Zhang, Li-Yong Pu, Xue-Hao Wang, Lian-Bao Kong, Department of Liver Transplantation Center, The First Affiliated Hospital of Nanjing Medical University, The National Institute of Living Donor Liver Transplantation, 300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China
Author contributions: Jiang WW and Kong LB contributed equally to this work; Jiang WW, Pu LY, Kong LB perfomed clinical examinations; Jiang WW, Zhang F, Pu LY, Wang XH, Kong LB were in charge of surgery; Jiang WW wrote the paper.
Supported by A grant from Jiangsu Health Department of China, No. RC2007058
Correspondence to: Lian-Bao Kong, PhD, MD, Department of Liver Transplantation Center, The First Affiliated Hospital of Nanjing Medical University, The National Institute of Living Donor Liver Transplantation, 300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China. lbkong@njmu.edu.cn
Received: July 11, 2009 Revised: September 7, 2009 Accepted: September 14, 2009 Published online: October 28, 2009
Abstract
A previous study has shown that liver or combined liver-kidney transplantation can be a valuable surgical technique for the treatment of polycystic liver disease. Herein, we present the case of a 35-year-old woman with polycystic liver disease, who underwent orthotopic liver transplantation (OLT) on November 11, 2008. The whole-size graft was taken from a deceased donor (a 51-year-old man who died of a heart attack). Resection in a patient with massive hepatomegaly is very difficult. Thus, after intercepting the portal hepatic vein, left hepatectomy was performed, then the vena cava was intercepted, the second and third porta hepatic isolated, and finally, right hepatectomy was performed. OLT was performed successfully. The recipient did well after transplantation. This case suggested that OLT is an effective therapeutic option for polycystic liver disease and left hepatectomy can be performed first during OLT if the liver is over enlarged.
