Browsing by Author "Yilmaz, Sezai"
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Item The 2-Stage Liver Transplant: 3 Clinical Scenarios(2015) Gedik, Ender; Bicakcioglu, Murat; Otan, Emrah; Toprak, Huseyin Ilksen; Isik, Burak; Aydin, Cemalettin; Kayaalp, Cuneyt; Yilmaz, Sezai; 0000-0001-9293-8116; 0000-0002-2395-3985; 0000-0002-7175-207X; 0000-0003-4657-2998; 25894175; ABB-5579-2020; AAH-1764-2021; AAN-4023-2020; A-6657-2018; ABI-2971-2020The main goal of 2-stage liver transplant is to provide time to obtain a new liver source. We describe our experience of 3 patients with 3 different clinical conditions. A 57-year-old man was retransplanted successfully with this technique due to hepatic artery thrombosis. However, a 38-year-old woman with fulminant toxic hepatitis and a 5-year-old-boy with abdominal trauma had poor outcome. This technique could serve as a rescue therapy for liver transplant patients who have toxic liver syndrome or abdominal trauma. These patients required intensive support during long anhepatic states. The transplant team should decide early whether to use this technique before irreversible conditions develop.Item Extracorporeal Membrane Oxygenation After Living-Related Liver Transplant(2015) Gedik, Ender; Celik, Muhammet Reha; Otan, Emrah; Disli, Olcay Murat; Erdil, Nevzat; Bayindir, Yasar; Kutlu, Ramazan; Yilmaz, Sezai; 0000-0002-7175-207X; 25894176; ABI-2971-2020Various types of extracorporeal membrane oxygenation methods have been used in liver transplant operations. The main indications are portopulmonary or hepatopulmonary syndromes and other cardiorespiratory failure syndromes that are refractory to conventional therapy. There is little literature available about extracorporeal membrane oxygenation, especially after liver transplant. We describe our experience with 2 patients who had living-related liver transplant. A 69-year-old woman had refractory aspergillosis pneumonia and underwent pumpless extracorporeal lung assist therapy 4 weeks after liver transplant. An 8-month-old boy with biliary atresia underwent urgent liver transplant; he received venoarterial extracorporeal membrane oxygenation therapy on postoperative day 1. Despite our unsuccessful experience with 2 patients, extracorporeal membrane oxygenation and pumpless extracorporeal lung assist therapy for liver transplant patients may improve prognosis in selected cases.Item Liver Transplantation From an Upper Midline Incision(Başkent Üniversitesi, 2011-08) Kayaalp, Cuneyt; Yilmaz, Sezai; Aydinli, Bulent; Ozgor, Dincer; Baskiran, Adil; Unal, Bulent; Aydin, CemalettinObjectives: To evaluate the minimally invasive incision to the recipient of a liver transplant. Materials and Methods: A 55-year-old man with cirrhosis due to hepatitis B accompanied by hepatocellular carcinoma underwent a right lobe, living-donor liver transplant using an 18-cm long, upper midline incision. The recipient hepatectomy was performed from the left to the right side (from medial to lateral). Deep retractors and long surgical instruments were preferred. Results: The surgical procedure was completed without problem. Both the recipient hepatectomy and implantation of the right liver took 8 hours. Postoperative recovery of the patient was rapid, and he was discharged 8 days after surgery, uneventfully. Conclusions: An upper midline incision can be preferred for liver transplant for selected cases. Minimally invasive surgery is an option for liver transplant recipients as well.Item Outcomes Following Deceased and Live Donor Liver Transplantation for the Indication of Acute Liver Failure: A Multicenter Experience(2020) Turan, Ilker; Aladag, Murat; Harputluoglu, Murat; Yilmaz, Sezai; Gencdal, Genco; Polat, Kamil Yalcin; Ozcay, Figen; Akarsu, Mesut; Unek, Tarkan; Karasu, Zeki; Zeytunlu, Murat; Sumer, Hale Gokcan; Bostanci, Erdal Birol; Kartal, Aysun Caliskan; Balci, Deniz; Dayangac, Murat; Dincer, Dinc; Adanir, Haydar; Dursun, Hakan; Gulsen, Murat Taner; Gunduz, Feyza; Balaban, Hatice Yasemin; Kabacam, Gokhan; Akyildiz, Murat; Gunsar, Fulya; Akarca, Ulus; Gurakar, Ahmet; Idilman, Ramazan; 0000-0002-5214-516X; ABG-5684-2020