RESUMEN
BACKGROUND: Living donor liver transplantation has gained wide acceptance as an alternative for children with end-stage liver disease. The standard left lateral segment used in this operation does not provide adequate parenchymal mass to broaden its application to larger children or adults. METHODS: We report two cases of adult to adult living donor liver transplantation using a right hepatic lobe in patients with chronic liver disease. RESULTS: Both recipients experienced excellent initial graft function and have normal liver function 4 and 9 months postoperatively. Both donors are alive and well and returned to normal life 4 weeks postoperatively. CONCLUSIONS: Our initial experience suggests that this technique is a safe and reliable option for adults with chronic end-stage liver disease. A conservative application of this procedure in the adult population could significantly reduce the mortality on the adult waiting list.
Asunto(s)
Trasplante de Hígado , Donadores Vivos , Adulto , Anastomosis Quirúrgica , Colangitis Esclerosante/cirugía , Femenino , Humanos , Fallo Hepático Agudo/cirugía , Trasplante de Hígado/mortalidad , Masculino , Persona de Mediana EdadRESUMEN
Patients' understanding of discharge teaching is an essential factor for compliance with medications and follow-up care after an organ transplant. This study compared the knowledge gained by the current method of individualized discharge teaching with that same teaching method plus a videotape. Fifty participants were assigned alternately to two groups. A written test was used to assess knowledge after teaching. Test scores indicated that the two methods were equally effective. Qualitative data gathered during interviews indicated that both groups were equally satisfied with their education. It was concluded that videotaped education is an acceptable and effective strategy when used in conjunction with other methods. Varying the medium for education will meet the unique learning needs of more patients.