Anesthetic management of a pregnant living related liver donor.

作者信息

Chen K-H, Liu C-C, Yang C-H, Wang C-H, Concejero A M, Luk H-N, Jawan B

机构信息

Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Taipei, Taiwan, China.

出版信息

Int J Obstet Anesth. 2006 Apr;15(2):149-51. doi: 10.1016/j.ijoa.2005.10.003. Epub 2006 Feb 20.

DOI:10.1016/j.ijoa.2005.10.003

PMID:16488602

Abstract

Pregnancy is often considered a contraindication to living related liver donation. There are serious medical and ethical considerations if a pregnant woman insists on undergoing partial hepatectomy to save her sick child. Herein we report a case of living related liver donation from a pregnant woman at 18 weeks of gestation to her 1-year-old child with decompensated cirrhosis due to biliary atresia. The left lateral segment of the liver was harvested for donation. Meticulous surgical technique and anesthetic management were mandatory in assuring a successful outcome. While this isolated case demonstrated that living related liver donation can be performed successfully with a pregnant donor, it should be undertaken only when there is absolutely no other donor and the recipient is in urgent need.

摘要