Reusing hepatic grafts in Korea: a case report
The shortage of donor organs has compelled transplant centers to use organs from non-standard donors. The Korean Network for Organ Sharing data showed that there were 5,804 potential recipients on the waiting list, and only 1,579 patients underwent liver transplant in 2019. Reuse of a graft that has...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society for Transplantation
2021-09-01
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| Series: | Korean Journal of Transplantation |
| Subjects: | |
| Online Access: | http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.21.0005 |
| _version_ | 1827393632029638656 |
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| author | Hye Young Kim Byunghyun Choi Minhwa Kim YounJung Choi Jeongrim Lee Won Hyun Cho |
| author_facet | Hye Young Kim Byunghyun Choi Minhwa Kim YounJung Choi Jeongrim Lee Won Hyun Cho |
| author_sort | Hye Young Kim |
| collection | DOAJ |
| description | The shortage of donor organs has compelled transplant centers to use organs from non-standard donors. The Korean Network for Organ Sharing data showed that there were 5,804 potential recipients on the waiting list, and only 1,579 patients underwent liver transplant in 2019. Reuse of a graft that has been transplanted previously to other recipients could be an option in this situation. However, given the susceptibility of hepatic grafts to ischemic damage, their reuse must be considered extremely carefully. In this retrospective, observational study, we investigated the outcomes of six cases of hepatic graft reuse in Korea since the year 2000, from information gathered from patient medical records from ten transplant centers. Only three of the six reused hepatic grafts functioned well. Among the three successful transplants, two had minimal ischemic damage owing to a longer interval between the first and second transplants, and because they were obtained from living donors. Two of the five cadaveric transplants were successful. The outcome of reusing hepatic grafts in Korea has not been ideal. However, in patients with limited choices, it can be carefully considered, provided the graft is thoroughly checked for ischemic damage and the recipient status is ascertained. |
| first_indexed | 2024-03-08T17:52:55Z |
| format | Article |
| id | doaj.art-2b08a7cc47ae45ca93133fce7d5cf2c1 |
| institution | Directory Open Access Journal |
| issn | 2671-8790 |
| language | English |
| last_indexed | 2024-03-08T17:52:55Z |
| publishDate | 2021-09-01 |
| publisher | Korean Society for Transplantation |
| record_format | Article |
| series | Korean Journal of Transplantation |
| spelling | doaj.art-2b08a7cc47ae45ca93133fce7d5cf2c12024-01-02T06:46:26ZengKorean Society for TransplantationKorean Journal of Transplantation2671-87902021-09-0135320020610.4285/kjt.21.0005kjt.21.0005Reusing hepatic grafts in Korea: a case reportHye Young Kim0Byunghyun Choi1Minhwa Kim2YounJung Choi3Jeongrim Lee4Won Hyun Cho5Korea Organ Donation Agency, Seoul, KoreaDepartment of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, KoreaKorea Organ Donation Agency, Seoul, KoreaKorea Organ Donation Agency, Seoul, KoreaKorea Organ Donation Agency, Seoul, KoreaKorea Organ Donation Agency, Seoul, KoreaThe shortage of donor organs has compelled transplant centers to use organs from non-standard donors. The Korean Network for Organ Sharing data showed that there were 5,804 potential recipients on the waiting list, and only 1,579 patients underwent liver transplant in 2019. Reuse of a graft that has been transplanted previously to other recipients could be an option in this situation. However, given the susceptibility of hepatic grafts to ischemic damage, their reuse must be considered extremely carefully. In this retrospective, observational study, we investigated the outcomes of six cases of hepatic graft reuse in Korea since the year 2000, from information gathered from patient medical records from ten transplant centers. Only three of the six reused hepatic grafts functioned well. Among the three successful transplants, two had minimal ischemic damage owing to a longer interval between the first and second transplants, and because they were obtained from living donors. Two of the five cadaveric transplants were successful. The outcome of reusing hepatic grafts in Korea has not been ideal. However, in patients with limited choices, it can be carefully considered, provided the graft is thoroughly checked for ischemic damage and the recipient status is ascertained.http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.21.0005organ transplantation; hepatic transplantation; graft reuse; graft survival; case report |
| spellingShingle | Hye Young Kim Byunghyun Choi Minhwa Kim YounJung Choi Jeongrim Lee Won Hyun Cho Reusing hepatic grafts in Korea: a case report Korean Journal of Transplantation organ transplantation; hepatic transplantation; graft reuse; graft survival; case report |
| title | Reusing hepatic grafts in Korea: a case report |
| title_full | Reusing hepatic grafts in Korea: a case report |
| title_fullStr | Reusing hepatic grafts in Korea: a case report |
| title_full_unstemmed | Reusing hepatic grafts in Korea: a case report |
| title_short | Reusing hepatic grafts in Korea: a case report |
| title_sort | reusing hepatic grafts in korea a case report |
| topic | organ transplantation; hepatic transplantation; graft reuse; graft survival; case report |
| url | http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.21.0005 |
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