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Pediatric deceased donor liver transplantation with in situ size reduction for recipient-graft size matching

Namgoong JM, Hwang S, Kim DY, Ha TY, Song GW, Jung DH, Kim KM, Oh SH

We present a case of pediatric deceased donor liver transplantation using a reduced whole liver graft in a 25-month-old boy weighing 12.7 kg. After he had undergone Kasai portoenterostomy for...
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Parenchyma-preserving hepatectomy including segments I + IV resection and bile duct resection in a patient with type IV perihilar cholangiocarcinoma: A case report with video clip

Hwang S

It has been reported that parenchyma-preserving hepatectomy (PPH) might lower surgical curability with an increased likelihood of bile duct resection margins (BDRMs). Apparently, PPH is indicated for patients expected to...
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Dextroplantation of a reduced left lateral section graft in an infant undergoing living donor liver transplantation

Namgoong JM, Hwang S, Park GC, Kim KM, Oh SH, Kwon H, Kwon YJ

Graft size matching is essential for successful liver transplantation in infant recipients. We present our technique of graft dextroplantation used in an infant who underwent living donor liver transplantation (LDLT)...
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Funneling venoplasty for anomalous graft left hepatic vein in living donor liver transplantation using a split left lateral section graft for an infant patient

Namgoong JM, Hwang S, Ha TY, Yoon YI, Kwon YJ, Kwon H, Kim KM, Oh SH

The left lateral section (LLS) can have an unusual variant left hepatic vein (LHV) anatomy. We present a case of customized funneling venoplasty of the graft LHV in a 22-month-old...
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Living donor liver transplantation in a pediatric patient with congenital absence of the portal vein

Namgoong JM, Hwang S, Park GC, Kwon H, Kim KM, Oh SH

Congenital absence of the portal vein (CAPV) is a rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. We report a case of pediatric living...
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Effectiveness of Hepatocellular Carcinoma Surveillance and an Optimal Surveillance Interval: Nationwide Cohort of Korea

Bae H, Lee SA, Choi JW, Hwang SH, Park S, Park MS

Purpose: To assess associations between surveillance intervals in a national hepatocellular carcinoma (HCC) surveillance program and receiving curative treatment and mortality using nationwide cohort data for Korea. Materials and Methods: Using...
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Diagnosis of Hypersensitivity Pneumonitis: 2020 Clinical Practice Guideline

Park S, Oh YW, Kang EY, Yong HS, Kim C, Lee KY, Hwang SH

Hypersensitivity pneumonitis (HP) is an interstitial lung disease (ILD) characterized by an inhaled inciting antigen that leads to the inflammation of the lung parenchyma and small airway with immunologic reactions....
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Fates of retained hepatic segment IV and its prognostic impact in adult split liver transplantation using an extended right liver graft

Chung YK, Hwang S, Ahn CS, Kim KH, Moon DB, Ha TY, Song GW, Jung DH, Park GC, Yoon YI, Kang WH, Cho HD, Choi JU, Kim M, Kim SH, Na BG, Lee SG

Purpose: When splitting a liver for adult and pediatric graft recipients, the retained left medial section (S4) will undergo ischemic necrosis and the right trisection graft becomes an extended right...
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Differential Sensitivity of Wild-Type and BRAF-Mutated Cells to Combined BRAF and Autophagy Inhibition

Yeom H, Hwang SH, Han BI, Lee M

BRAF inhibitors are insufficient monotherapies for BRAF-mutated cancer; therefore, we investigated which inhibitory pathway would yield the most effective therapeutic approach when targeted in combination with BRAF inhibition. The oncogenic...
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Recipient hepatectomy under total hepatic vascular exclusion to prevent hepatocellular carcinoma spread in living donor liver transplantation

Yoon YI, Hwang S, Moon DB, Jung DH, Lee SG

We present a case of recipient hepatectomy under total hepatic vascular exclusion (THVE) and venovenous bypass for living donor liver transplantation (LDLT) in a patient with multiple hepatocellular carcinomas (HCCs)...
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Recipient liver splitting to facilitate piggyback hepatectomy in adult living donor liver transplantation

Kim SM, Hwang S, Moon DB, Jung DH

Recipient hepatectomy for an enlarged stony-hard liver is a demanding procedure, thus it is often accompanied by massive blood loss. Recipient liver splitting under prolonged hepatic inflow occlusion would facilitate...
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Salvage living donor liver transplantation for post-resection recurrence of combined hepatocellular carcinoma-cholangiocarcinoma

Kim M, Hwang S, Song GW, Ahn CS, Moon DB, Jung DH, Park GC, Lee SG

Salvage liver transplantation (LT) is a definite treatment for recurrent hepatocellular carcinoma (HCC) after hepatectomy. Combined hepatocellular carcinoma-cholangiocarcinoma (cHCC-CC) is not eligibly indicated for LT because of high post-transplant recurrence....
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Outcomes of deceased donor liver transplantation from elderly donors

Kim M, Hwang S, Ahn CS, Kim KH, Moon DB, Ha TY, Song GW, Jung DH, Park GC, Yoon YI, Kang WH, Cho HD, Na BG, Kim SH, Lee SG

Background: Favorable outcomes achieved after deceased donor liver transplantation (DDLT) suggest that use of elderly donors may be an effective way to expand donor pool. Methods: This was a retrospective analysis...
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Institutional standard framework and experience of living donor liver transplantation for overseas non-Korean patients at Asan Medical Center

Kim SH, Hwang S, Song GW, Jung DH, Ahn CS, Kim KH, Moon DB, Ha TY, Park GC, Yoon YI, Lee SG

Background: Liver transplantation (LT) for foreign patients is a sensitive issue because of possibility of transplant tourism and difficulty in posttransplant follow-up. This study describes the institutional standard framework and...
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A Pilot Project for Expansion of the External Quality Assessment Program in Transfusion Medicine: Extended Antigen Typing

Chung Y, Kim JS, Yang JJ, Kim H, Hwang SH, Oh HB, Ko DH

Background: As the need for expansion of the external quality assessment (EQA) scheme for transfusion medicine in Korea has increased, we performed a pilot project of extended antigen typing for...
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Third retransplantation using a whole liver graft for late graft failure from hepatic vein stent stenosis in a pediatric patient who underwent split liver retransplantation

Namgoong JM, Hwang S, Yoon YI, Cho YP, Kang WH, Kwon YJ, Kwon H, Kim SH, Kim KM, Oh SH

We present a case of third retransplantation using a whole liver graft in a 13-year-old girl who suffered graft failure and hepatopulmonary syndrome following split liver retransplantation with endovascular stenting...
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Therapeutic plasma exchange as an effective salvage measure for post-hepatectomy hepatic failure: A case report

Ryu LN, Hwang S, Ha S

Major hepatectomy can result in post-hepatectomy hepatic failure (PHHF) and therapeutic plasma exchange (TPE) can be used as a salvage procedure for liver support. We herein present a case of...
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Indication and surgical techniques of bypass choledochojejunostomy for intractable choledocholithiasis

Hwang S, Jung DH, Lee SK, Kim MH

Despite development in endoscopic treatment and minimally invasive surgery for choledocholithiasis, there remains a small number of patients who require bypass Roux-en-Y choledochojejunostomy (RYCJ) because of the intractable occurrence of...
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Comparison of skeletal muscle index-based formula and body surface area-based formula for calculating standard liver volume

Yang G, Hwang S, Song GW, Jung DH

Backgrounds/Aims: Formula-derived standard liver volume (SLV) has been clinically used for living donor liver transplantation and hepatic resection. The majority of currently available SLV formulae are based on body surface...
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Efficacy of Living Donor Liver Transplantation in Patients with Methylmalonic Acidemia

Jang JG, Oh SH, Kim YB, Kim SH, Yoo HW, Lee BH, Namgoong JM, Kim DY, Kim KH, Song GW, Moon DB, Hwang S, Lee SG, Kim KM

Purpose: Despite aggressive medical and nutritional management, patients with methylmalonic acidemia (MMA) often suffer from multi-organ damage. Early deceased donor liver transplantation (DDLT) has emerged as an intervention to prevent...
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