Salvatore Gruttadauria

Publications (149) View all

• Article: Selective use of extended criteria deceased liver donors with anatomic variations.

  Fabrizio di Francesco, Duilio Pagano, Gabriel Echeverri, Michela De Martino, Marco Spada, Bruno G Gridelli, Salvatore Gruttadauria
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  ABSTRACT: Backgrounds: An ongoing shortage of organs for liver transplantation has led surgeons to continually modify criteria for organ acceptance, which are now defined as extended criteria. The organ shortage becomes more problematic in retransplantation, in which the use of a limited resource such as a liver graft with anatomic variation must be weighed against the risk of a more difficult operation. Case Reports: We report 2 peculiar anatomic variations discovered in deceased donors for whole liver transplantation and confirmed at the back table: 1 with a huge biliary enlargement of the common hepatic duct and 1 with a celiac trunk aneurysm. In the first variation, any potential biliary reconstruction was thought to be at high risk of difficult outflow. The vascular anomaly did not preclude successful performance of a liver retransplantation. Conclusions: We briefly report the use of 2 liver grafts from deceased donors with rare anatomic variations, which is relevant to increasing the liver donor pool. To the best of our knowledge this is the first report of this biliary anomaly. In certain specific settings, strategies based on the appropriate donor-recipient match have allowed the use of grafts that otherwise would have been discarded due to celiac aneurysm.
  Annals of transplantation: quarterly of the Polish Transplantation Society 12/2012; 17(4):140-3. · 2.02 Impact Factor
• Source

  Available from: Salvatore Gruttadauria

  Dataset: surgical management

  Salvatore Gruttadauria, Duilio Pagano, Bruno Gridelli, Gabriel J Echeverri, Marco Spada, Fabrizio Di Francesco, Sergio Li Petri, Davide Cintorino
• Source

  Available from: Marcello Donati

  Article: Combination of in situ split and portal ligation: lights and shadows of a new surgical procedure.

  Marcello Donati, Gregor A Stavrou, Francesco Basile, Salvatore Gruttadauria, Klaus J Niehaus, Karl J Oldhafer
  Annals of surgery 09/2012; 256(3):e11-2; author reply e16-9. · 7.90 Impact Factor
• Article: Fifty-six-month survival after liver transplantation in a patient with more than one-hundred hepatocellular carcinoma nodules.

  Salvatore Gruttadauria, Fabrizio di Francesco, Marco Spada
  Transplant International 05/2012; 25(9):e101-3. · 2.92 Impact Factor
• Article: Early regeneration of the remnant liver volume after right hepatectomy for living donation: a multiple regression analysis.

  Salvatore Gruttadauria, Vishal Parikh, Duilio Pagano, Fabio Tuzzolino, Davide Cintorino, Roberto Miraglia, Marco Spada, Giovanbattista Vizzini, Angelo Luca, Bruno Gridelli
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  ABSTRACT: Early liver regeneration was studied in a series of 70 patients who underwent right hepatectomy for living donation between November 2004 and January 2010. Liver regeneration was evaluated with multidetector computed tomography (MDCT) at a mean of 61.07 days after surgery. Presurgical variables [eg, age, weight, height, body mass index (BMI), liver function tests, creatinine levels, platelet counts, international normalized ratio, and glucose levels] and variables detected with preoperative MDCT imaging [eg, main portal vein diameter, steatosis, original liver volume, and spleen volume (SV)] were investigated as potential predictors of liver regeneration. The future remnant liver volume (FRLV) was preoperatively calculated with a virtual surgical cut. Liver function tests and creatinine levels were recorded on the 30th postoperative day. In addition, the onset of postoperative complications occurring within 90 days of surgery was analyzed, and the complications were codified according to the 5 tiers of the Clavien-Dindo classification. In 26 of the 70 patients (37.14%), 100% or greater hepatic regeneration had occurred at 2 months. There was no association between the clinical outcome and the liver regeneration rate. A stepwise multiple regression analysis showed that a higher BMI (coefficient = 0.035, P < 0.0001) and preoperative parameters such as a smaller FRLV (coefficient = -0.002, P < 0.0001) and a greater SV/FRLV ratio (coefficient = 1.196, P < 0.0001) were predictors of greater liver regeneration.
  Liver Transplantation 04/2012; 18(8):907-13. · 3.39 Impact Factor