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RISS 인기검색어
- 검색키워드
- 저자 : ( Zhanadil Almyrzauly ) (검색결과 3 건)
- 무료
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First Expiriens of Living Donor Liver Transplantation
( Zhanadil Almyrzauly ),( Myltykbay Rysmakhanov ),( Yerlansul-tangereev ),( Bazylbek Zhakiev ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Presents to analyze of first experience of Living Donor LiverTransplantation (LDLT) at Aktobe Medical Center, in the two-year period. LDLT were performed with the participation of specialists from Korea. Methods: LDLT were done after the candidates (living donor and recipient) were : valuated following our practices guide lines. After donor right hepatectomies TNK solution with hep arine was used for graft perfusion. “Middle hepatic vein” recon struction performed by synthetic vascular graft. During recipient hepatectomy used “High Hillary Dissection” method. Right liver graft implantation made as standard technique. Before portal reperfusion, liver graft washed by 5% Albumine solution. Immu nosupressive therapy in all patients included three components (CNI + MMF + Steroid) with introduction of Basiliximab (first and fourth postoperative day). Results: In our Center during 2016-2017 years performed 9 living donor liver transplantation. Our donors age were be tween 22 and 54 years. In all cases removed right lobe. From 3 donors we used 3D-laparoscopic right hepatectomy. All donors discharged at 7th-9th day after operation. Recipient’s character istics shown in Tab.1. Died 2 recipient in late postoperative period: after infection com plications (cholangiogenic abscess with sepsis and chronic rejec tion). Conclusions: LDLT gives a big chance to survive for patients : ith end-stage liver disease in Kazakhstan. Our transplant program needs to be gain experience, particularly with respect to donor selection, recipient preoperative preparing.
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Our First Experience of Living Donor Liver Transplantation
( Zhanadil Almyrzauly ),( Ermakhan Assylkhanuly ),( Erlan Sultangereev ),( Bazylbek Zhakiev ),( Asset Kaliev ),( K-w Lee ),( Myltykbay Rysmakhanov ) 대한간학회 2017 춘·추계 학술대회 (KASL) Vol.2017 No.1
Aims: Presents to analyze of first experience of Living Donor Liver Transplantation (LDLT) at Aktobe Regional Hospital, Kazakhstan, in the one-year period. LDLT were performed with the participation of specialists from SHUH. Methods: LDLT were done after the candidates (living donor and recipient) were evaluated following our practices guidelines. After donor right hepatectomies TNK solution with heparine was used for graft perfusion. “Middle hepatic vein” reconstruction performed by synthetic vascular graft. During recipient hepatectomy used “High Hillary Dissection” method. Right liver graft implantation made as standard technique. Before portal reperfusion, liver graft washed by 5% Albumine solution. Immunosupressive therapy in all patients included three components (CNI + MMF + Steroid) with introduction of intravenous Basiliximab (first and fourth postoperative day). Results: In our Hospital performed 7 living donor liver transplantation. Our donors age were between 22 and 48 years. In all cases removed right lobe. From 2 donors we used 3D-laparoscopic right hepatectomy. All donors discharged at 7th day after operation. There were no complication on liver donors. Recipient’s characteristics shown in Tab.1. Died one recipient, after infection complications (cholangiogenic abscess, sepsis). Conclusions: LDLT gives a chance to survive for patients with end-stage liver disease in Kazakhstan. Our transplant program needs to be gain experience, particularly with respect to donor selection, recipient preoperative preparing. Table 1. Recipients.
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The First Case of Pure 3D Laparoscopic Living Donor Hepatectomy in Kazakhstan
( Kyung Chul Yoon ),( Kaliev Aset ),( Zhanadil Almyrzauly ),( Yerlan-sultangereyev ),( Bazylbek Zhakiev ),( Kwang-woong Lee ),( Kyung Chul Yoon ),( Kaliev Aset ),( Zhanadil Almyrzauly ),( Bazylbek Zha 대한간학회 2017 춘·추계 학술대회 (KASL) Vol.2017 No.1
Aims: Laparoscopic living donor hepatectomy is performed selectively in some countries because of the small sized structures and anatomic variations which requires more precise technique. In Kazakhstan about 200 cases of living donor liver transplantation were performed starting from December 2011.We now present the first case of laparoscopic living donor hepatectomy in Kazakhstan using a 3D laparoscopic device with colleagues from Seoul National University Hospital, Korea by professor KwangWoong Lee. Methods: A 23-year-old male volunteered for living donor to his older brother who had combined hepatitis B, D and C related cirrhosis without any history of antiviral treatment. The recipient age was 36 and His model for end-stage liver disease score was 22. Brief morphologic characteristics of donor and recipient were as follows: donor - height 177 cm, weight 74 kg, BMI 23.64 kg/m<sup>2</sup>standard liver volume 1348 ml; recipient - height 172 cm, weight 78 kg, BMI 26.44 kg/m<sup>2</sup>, standard liver volume 1350ml.Donor graft volume was 820ml and left remnant liver volume was 32%. Results: The surgery was performed in October 2016 with 5 port insertion using an ultrasonic dissector, Cabitron Ultrasonic Aspirator, and clips. The liver was extracted via 10 cm sized suprapubic incision. V5 and V8 were reconstructed to the right hepatic vein using the PTFE graft. The Donor’s operation time was 295 minutes and estimated bleeding was 700ml. The recipient had sanguinous drain and bleeding control was performed postoperative day 1 due to bleeding from hilar plate. Both donor and recipient were discharged after 15 and 28 days and the donor was not eventful. Conclusions: 3D laparoscopic hepatectomy has been progressively developed along the past decade. High quality studies allied with high-level surgical training are required to base surgical practice and to disseminate the benefits of to many centers as possible. Future applicability of new technologies such as robot assistance and 3D surgery is still under investigation in Kazakhstan.
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