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4 results on '"Ya-Lan Hsu"'

1. Portal venous velocity affects liver regeneration after right lobe living donor hepatectomy.

Author

Chen-Tai Hou, Yao-Li Chen, Chia-Cheng Lin, Chen-Te Chou, Kuo-Hua Lin, Ping-Yi Lin, Ya-Lan Hsu, Chia-Bang Chen, Hui-Chuan Lin, Chih-Jan Ko, Su-Han Wang, Li-Chueh Weng, and Chia-En Hsieh

Subjects
Medicine, Science
Abstract

OBJECTIVES:We investigated whether chronological changes in portal flow and clinical factors play a role in the liver regeneration (LR) process after right donor-hepatectomy. MATERIALS AND METHODS:Participants in this prospective study comprised 58 donors who underwent right donor-hepatectomy during the period February 2014 to February 2015 at a single medical institution. LR was estimated using two equations: remnant left liver (RLL) growth (%) and liver volumetric recovery (LVR) (%). Donors were classified into an excellent regeneration (ER) group or a moderate regeneration (MR) group based on how their LR on postoperative day 7 compared to the median value. RESULTS:Multivariate analysis revealed that low residual liver volume (OR = .569, 95% CI: .367- .882) and high portal venous velocity in the immediate postoperative period (OR = 1.220, 95% CI: 1.001-1.488) were significant predictors of LR using the RLL growth equation; high portal venous velocity in the immediate postoperative period (OR = 1.325, 95% CI: 1.081-1.622) was a significant predictor of LR using the LVR equation. Based on the two equations, long-term LR was significantly greater in the ER group than in the MR group (p < .001). CONCLUSION:Portal venous velocity in the immediate postoperative period was an important factor in LR. The critical time for short-term LR is postoperative day 7; it is associated with long-term LR in donor-hepatectomy.

Published
2018
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2. Predictors of Diarrhea after Hepatectomy and Its Impact on Gastrointestinal Quality of Life in Living Donors.

Author

Szu-Han Wang, Ying-Zi Ming, Ping-Yi Lin, Jiun-Yi Wang, Hui-Chuan Lin, Chia-En Hsieh, Ya-Lan Hsu, and Yao-Li Chen

Subjects
Medicine, Science
Abstract

Donor safety and preservation of donor health after living liver donation are of paramount importance. Diarrhea has a significant influence on gastrointestinal quality of life among donors who have undergone living donor hepatectomy. Thus, we aimed to investigate predictors of diarrhea after hepatectomy and its impact on gastrointestinal quality of life in living donors.We retrospectively examined the medical records of 204 living liver donors who underwent hepatectomy during the period January 2010 to June 2013 at a single medical center. Diarrhea was defined as the passing of three or more liquid stools per day. The Chinese version of the Gastrointestinal Quality of Life Index (GIQLI) was used to assess the influence of diarrhea on quality of life in donors.During the study period, diarrhea was diagnosed in 62 (30.3%) of the 204 donors and the duration of diarrhea in the majority of them (n = 46, 74%) was

Published
2016
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3. Portal venous velocity affects liver regeneration after right lobe living donor hepatectomy

Author

Li-Chueh Weng, Chia-Bang Chen, Ping-Yi Lin, Chia-Cheng Lin, Chih-Jan Ko, Su-Han Wang, Yao-Li Chen, Chen-Te Chou, Hui-Chuan Lin, Chen-Tai Hou, Ya-Lan Hsu, Chia-En Hsieh, and Kuo-Hua Lin

Subjects
Adult, Male, medicine.medical_specialty, Bilirubin, medicine.medical_treatment, Urology, lcsh:Medicine, 030230 surgery, Liver transplantation, Preoperative care, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Preoperative Care, medicine, Living Donors, Hepatectomy, Humans, Prospective cohort study, lcsh:Science, Multidisciplinary, business.industry, Portal Vein, Fatty liver, lcsh:R, medicine.disease, Liver regeneration, Lobe, Liver Regeneration, medicine.anatomical_structure, Logistic Models, chemistry, Liver, 030211 gastroenterology & hepatology, lcsh:Q, Female, business, Blood Flow Velocity
Abstract

Objectives We investigated whether chronological changes in portal flow and clinical factors play a role in the liver regeneration (LR) process after right donor-hepatectomy. Materials and methods Participants in this prospective study comprised 58 donors who underwent right donor-hepatectomy during the period February 2014 to February 2015 at a single medical institution. LR was estimated using two equations: remnant left liver (RLL) growth (%) and liver volumetric recovery (LVR) (%). Donors were classified into an excellent regeneration (ER) group or a moderate regeneration (MR) group based on how their LR on postoperative day 7 compared to the median value. Results Multivariate analysis revealed that low residual liver volume (OR = .569, 95% CI: .367– .882) and high portal venous velocity in the immediate postoperative period (OR = 1.220, 95% CI: 1.001–1.488) were significant predictors of LR using the RLL growth equation; high portal venous velocity in the immediate postoperative period (OR = 1.325, 95% CI: 1.081–1.622) was a significant predictor of LR using the LVR equation. Based on the two equations, long-term LR was significantly greater in the ER group than in the MR group (p < .001). Conclusion Portal venous velocity in the immediate postoperative period was an important factor in LR. The critical time for short-term LR is postoperative day 7; it is associated with long-term LR in donor-hepatectomy.

Published
2018

4. Predictors of Diarrhea after Hepatectomy and Its Impact on Gastrointestinal Quality of Life in Living Donors

Author

Hui-Chuan Lin, Szu-Han Wang, Ya-Lan Hsu, Chia-En Hsieh, Ying-Zi Ming, Jiun-Yi Wang, Yao-Li Chen, and Ping-Yi Lin

Subjects
Male, Steatosis, medicine.medical_treatment, lcsh:Medicine, Liver transplantation, Pathology and Laboratory Medicine, Gastroenterology, Cytopathology, 0302 clinical medicine, Quality of life, Risk Factors, Surveys and Questionnaires, Medicine and Health Sciences, Cholecystitis and Biliary Colic, Living Donors, lcsh:Science, Multidisciplinary, Liver Diseases, Absolute risk reduction, Prognosis, Diarrhea, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, medicine.symptom, Biliary Disorders, Research Article, Adult, medicine.medical_specialty, Surgical and Invasive Medical Procedures, Gastroenterology and Hepatology, Digestive System Procedures, Young Adult, 03 medical and health sciences, Signs and Symptoms, Diagnostic Medicine, Internal medicine, medicine, Hepatectomy, Humans, Cholecystectomy, Retrospective Studies, business.industry, lcsh:R, Retrospective cohort study, Liver Transplantation, Fatty Liver, Health Care, Gastrointestinal Tract, Anatomical Pathology, Relative risk, Quality of Life, lcsh:Q, business
Abstract

Background Donor safety and preservation of donor health after living liver donation are of paramount importance. Diarrhea has a significant influence on gastrointestinal quality of life among donors who have undergone living donor hepatectomy. Thus, we aimed to investigate predictors of diarrhea after hepatectomy and its impact on gastrointestinal quality of life in living donors. Methods We retrospectively examined the medical records of 204 living liver donors who underwent hepatectomy during the period January 2010 to June 2013 at a single medical center. Diarrhea was defined as the passing of three or more liquid stools per day. The Chinese version of the Gastrointestinal Quality of Life Index (GIQLI) was used to assess the influence of diarrhea on quality of life in donors. Results During the study period, diarrhea was diagnosed in 62 (30.3%) of the 204 donors and the duration of diarrhea in the majority of them (n = 46, 74%) was

Published
2016

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