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Portal vein anastomosis was performed between the left portal vein of the left lateral graft and the recipient portal vein bifurcation. Arterial reconstruction depended on the remaining structures of the split graft and was performed analogous to techniques described above. Biliary reconstruction was performed as an end-to-side hepato-jejunostomy in all transplantations using left lateral grafts. In case of large-for-size liver grafts or elevated intra-abdominal pressure, a widening synthetic patch was used for abdominal closure. Definitive abdominal closure was achieved by stepwise reduction of the widening patch in one or more operative revisions. Monitoring of the paediatric ICU directly after transplantation included clinical examination and blood tests, at least twice daily. To optimize liver allograft blood flow, haemoglobin levels were adjusted between 7 and 10?g/dl and unfractionated heparin was administered http://www.selleckchem.com/products/cobimetinib-gdc-0973-rg7420.html with a partial thromboplastin time target of 40�C50?s. Patency of vascular anastomoses was verified intraoperatively, as well as postoperative days, 1 to 7, using duplex-sonography performed by a single radiologist. Statistics: The distribution of continuous data was analysed by Kolmogorov�CSmirnov-test. In case of normal distribution, data were expressed as mean/standard deviation and differences between continuous data were analysed using one way anova (>2 groups) and t-test (2 groups), respectively. Otherwise, data were expressed as median/range and analysed using Kruskal�CWallis test (>2 groups) or Mann�CWhitney U-test (2 groups). Categorical variables were illustrated as number/percentage. http://www.selleck.cn/products/incb024360.html Differences between categorical variables were evaluated using chi-square test. All data were analysed regarding differences among the five groups. In case of a significant difference among these groups, group 1 and group 2 were tested against group 4 patients (standard donors) separately. Graft and patient survival were assessed using Kaplan�CMeier survival curves and Log Rank test. All statistics were performed using the spss 18.0 software (IBM, M��nchen, Germany). Significance levels were set at a P-value of ��0.05. All recipients were divided into groups according to donor age; group 1 (donor age http://www.selleckchem.com/products/bmn-673.html to
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