Publications by authors named "Leonhard Schurr"
Article Synopsis
- Living donor liver transplantation (LDLT) shows better outcomes than deceased donor options, but evaluation processes vary significantly across transplant centers.
- In a study of 317 potential donors, the most common reasons for rejection included liver size (40.3%) and metabolic issues like obesity (20.8%), with advanced imaging techniques identifying a majority of ineligible donors.
- The authors propose a streamlined 4-step evaluation method that could identify nearly 90% of unsuitable donors early on, improving efficiency and reducing strain on both resources and potential donors.
Article Synopsis
- Pediatric liver transplantations can sometimes require retransplantation (reLT) due to complications like graft failure, with 31 out of 208 patients needing this procedure between 2008 and 2021.
- The study found that the main reasons for reLT included acute/chronic graft failure and complications like hepatic artery thrombosis, with a higher survival rate for patients undergoing multiple reLTs.
- Successful outcomes are achievable in specialized centers, emphasizing the importance of careful selection and preoperative preparation for patients undergoing liver retransplantation.
Article Synopsis
- - The study investigates the impact of bile duct (BD) damage on long-term outcomes after liver transplantation, distinguishing between "major" BD damage and "no relevant" damage in 60 bile ducts.
- - Patients with "major" BD damage showed significantly poorer survival rates over time, with specific early post-transplant markers like bilirubin levels and GGT/bilirubin ratios correlated to outcomes.
- - High early GGT/bilirubin ratios may indicate potential regeneration and better survival chances, while major BD damage without regeneration markers suggests a need for future therapeutic interventions.
Abdominal trauma among severely injured patients with an injury severity score (ISS) of 16 and above can lead to potentially life-threatening injuries that might need immediate surgical intervention. Traumatic injuries to the diaphragm (TID) are a challenging condition often accompanied by other injuries in the thoracoabdominal region. We retrospectively analyzed the occurrence and clinical course of TID among severely injured patients treated at our center between 2008 and 2019 and compared them to other groups of severely injured patients without TID.
View Article and Find Full Text PDFBackground: Abdominal trauma, leading to intra-abdominal bleeding, is a life-threatening condition that might need emergency surgical intervention. Sonography and Computed Tomography (CT) are most commonly used to detect free intra-abdominal fluid. This study investigates the accuracy of CT to distinguish between ascites and intra-abdominal hemorrhage.
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