Postoperative Complications in Living Donors for Lung Transplantation

Living donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and without medical benefit. Therefore, the donor's safety and minimal postoperative complications are crucial. This study aimed to investigate the sho...

Full description

Saved in:
Bibliographic Details
Published inTransplantation direct Vol. 10; no. 5; p. e1617
Main Authors Tanaka, Shin, Fujii, Kento, Ishihara, Megumi, Choshi, Haruki, Matsubara, Kei, Hashimoto, Kohei, Okahara, Shuji, Shien, Kazuhiko, Suzawa, Ken, Miyoshi, Kentaroh, Yamamoto, Hiromasa, Okazaki, Mikio, Sugimoto, Seiichiro, Toyooka, Shinichi
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins 01.05.2024
Wolters Kluwer
Subjects
Lung Transplantation
Online AccessGet full text

Cover

Abstract Living donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and without medical benefit. Therefore, the donor's safety and minimal postoperative complications are crucial. This study aimed to investigate the short-term outcomes and identify the risk factors affecting these outcomes. The data of 175 living donors enrolled between 1998 and 2022 were analyzed. Donors were divided into era 1 (1998-2009) and era 2 (2010-2022). The overall incidence of postoperative complications was 39%, of which 7% were major complications. Donors who underwent surgery on the right side had a higher incidence of delayed pulmonary fistulae (  = 0.01) and elevated liver enzyme levels (  = 0.028). Living donor surgery on the right side (  = 0.01), era 2 (  = 0.01), and the need for plasty (  = 0.04) were predictors of postoperative complications. Updated data on complications and their correlation with postoperative quality of life from this study could aid in the selection of potential donors and facilitate informed consent.
AbstractList Background. Living donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and without medical benefit. Therefore, the donor’s safety and minimal postoperative complications are crucial. This study aimed to investigate the short-term outcomes and identify the risk factors affecting these outcomes. Methods. The data of 175 living donors enrolled between 1998 and 2022 were analyzed. Donors were divided into era 1 (1998–2009) and era 2 (2010–2022). Results. The overall incidence of postoperative complications was 39%, of which 7% were major complications. Donors who underwent surgery on the right side had a higher incidence of delayed pulmonary fistulae ( P = 0.01) and elevated liver enzyme levels ( P = 0.028). Living donor surgery on the right side ( P = 0.01), era 2 ( P = 0.01), and the need for plasty ( P = 0.04) were predictors of postoperative complications. Conclusions. Updated data on complications and their correlation with postoperative quality of life from this study could aid in the selection of potential donors and facilitate informed consent.
BackgroundLiving donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and without medical benefit. Therefore, the donor's safety and minimal postoperative complications are crucial. This study aimed to investigate the short-term outcomes and identify the risk factors affecting these outcomes.MethodsThe data of 175 living donors enrolled between 1998 and 2022 were analyzed. Donors were divided into era 1 (1998-2009) and era 2 (2010-2022).ResultsThe overall incidence of postoperative complications was 39%, of which 7% were major complications. Donors who underwent surgery on the right side had a higher incidence of delayed pulmonary fistulae (P = 0.01) and elevated liver enzyme levels (P = 0.028). Living donor surgery on the right side (P = 0.01), era 2 (P = 0.01), and the need for plasty (P = 0.04) were predictors of postoperative complications.ConclusionsUpdated data on complications and their correlation with postoperative quality of life from this study could aid in the selection of potential donors and facilitate informed consent.
Living donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and without medical benefit. Therefore, the donor's safety and minimal postoperative complications are crucial. This study aimed to investigate the short-term outcomes and identify the risk factors affecting these outcomes. The data of 175 living donors enrolled between 1998 and 2022 were analyzed. Donors were divided into era 1 (1998-2009) and era 2 (2010-2022). The overall incidence of postoperative complications was 39%, of which 7% were major complications. Donors who underwent surgery on the right side had a higher incidence of delayed pulmonary fistulae (  = 0.01) and elevated liver enzyme levels (  = 0.028). Living donor surgery on the right side (  = 0.01), era 2 (  = 0.01), and the need for plasty (  = 0.04) were predictors of postoperative complications. Updated data on complications and their correlation with postoperative quality of life from this study could aid in the selection of potential donors and facilitate informed consent.
Author Miyoshi, Kentaroh
Suzawa, Ken
Okahara, Shuji
Toyooka, Shinichi
Tanaka, Shin
Fujii, Kento
Choshi, Haruki
Shien, Kazuhiko
Yamamoto, Hiromasa
Sugimoto, Seiichiro
Okazaki, Mikio
Matsubara, Kei
Hashimoto, Kohei
Ishihara, Megumi
Author_xml – sequence: 1
  givenname: Shin
  orcidid: 0000-0002-0014-9230
  surname: Tanaka
  fullname: Tanaka, Shin
  organization: Department of General Thoracic Surgery and Organ Transplant Center, Okayama University Hospital, Okayama, Japan
– sequence: 2
  givenname: Kento
  surname: Fujii
  fullname: Fujii, Kento
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 3
  givenname: Megumi
  surname: Ishihara
  fullname: Ishihara, Megumi
  organization: Department of General Thoracic Surgery and Organ Transplant Center, Okayama University Hospital, Okayama, Japan
– sequence: 4
  givenname: Haruki
  surname: Choshi
  fullname: Choshi, Haruki
  organization: Department of General Thoracic Surgery and Organ Transplant Center, Okayama University Hospital, Okayama, Japan
– sequence: 5
  givenname: Kei
  surname: Matsubara
  fullname: Matsubara, Kei
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 6
  givenname: Kohei
  surname: Hashimoto
  fullname: Hashimoto, Kohei
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 7
  givenname: Shuji
  surname: Okahara
  fullname: Okahara, Shuji
  organization: Department of Anesthesiology and Resuscitology, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
– sequence: 8
  givenname: Kazuhiko
  surname: Shien
  fullname: Shien, Kazuhiko
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 9
  givenname: Ken
  surname: Suzawa
  fullname: Suzawa, Ken
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 10
  givenname: Kentaroh
  surname: Miyoshi
  fullname: Miyoshi, Kentaroh
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 11
  givenname: Hiromasa
  surname: Yamamoto
  fullname: Yamamoto, Hiromasa
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 12
  givenname: Mikio
  surname: Okazaki
  fullname: Okazaki, Mikio
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
– sequence: 13
  givenname: Seiichiro
  surname: Sugimoto
  fullname: Sugimoto, Seiichiro
  organization: Department of General Thoracic Surgery and Organ Transplant Center, Okayama University Hospital, Okayama, Japan
– sequence: 14
  givenname: Shinichi
  surname: Toyooka
  fullname: Toyooka, Shinichi
  organization: Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
BackLink https://www.ncbi.nlm.nih.gov/pubmed/38606350$$D View this record in MEDLINE/PubMed
BookMark eNpdkU1PAyEQhonR-FH9B8bs0Ut1KCwfJ2PqZ9JEDzXxRlgWKmYLK2yb-O_dtmqqXGCYd56ZzHuEdkMMFqFTDBcYJL-cvt5cwNbBDPMddDginAwFJ3h3632ATnJ-X4koY3RE9tEBEQwYKeEQ3T7H3MXWJt35pS3Gcd423vRBDLnwoZj4pQ-z4iaGmHLhYiomiz6eJh1y2-jQraXHaM_pJtuT73uAXu5up-OH4eTp_nF8PRkaykQ35OAoLiUDwRwlVtSGOiMkptYwBnxEHDes1FJXteW1ZLqWxFIHWAKtJa_IAD1uuHXU76pNfq7Tp4raq_VHTDOlU-dNY1VpjISKg3ElpwTKSjJe1iPgGlvQnPWsqw2rXVRzWxsbuqSbP9C_meDf1CwuFcYApZCiJ5x_E1L8WNjcqbnPxjb9WmxcZEWACEoYgVUzupGaFHNO1v32waBWjqreUfXf0b7sbHvG36If_8gX6budsQ
Cites_doi 10.1097/SLA.0b013e3181b13ca2
10.1007/s00595-022-02492-w
10.1016/j.athoracsur.2021.02.021
10.1038/ng.3279
10.1111/ans.15553
10.1016/j.thorsurg.2021.02.005
10.1016/j.jtcvs.2022.07.031
10.1016/j.jtcvs.2021.08.090
10.1067/mtc.2000.110685
10.1111/ajt.12771
10.1016/S0022-5223(03)00235-6
10.1093/ejcts/ezs460
10.1186/s12969-019-0359-9
10.1016/j.healun.2015.03.016
ContentType Journal Article
Copyright Copyright © 2024 The Author(s). Transplantation Direct. Published by Wolters Kluwer Health, Inc.
Copyright © 2024 The Author(s). Transplantation Direct. Published by Wolters Kluwer Health, Inc. 2024
Copyright_xml – notice: Copyright © 2024 The Author(s). Transplantation Direct. Published by Wolters Kluwer Health, Inc.
– notice: Copyright © 2024 The Author(s). Transplantation Direct. Published by Wolters Kluwer Health, Inc. 2024
DBID NPM
AAYXX
CITATION
7X8
5PM
DOA
DOI 10.1097/TXD.0000000000001617
DatabaseName PubMed
CrossRef
MEDLINE - Academic
PubMed Central (Full Participant titles)
Directory of Open Access Journals
DatabaseTitle PubMed
CrossRef
MEDLINE - Academic
DatabaseTitleList CrossRef

MEDLINE - Academic
PubMed
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ: Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
EISSN 2373-8731
EndPage e1617
ExternalDocumentID oai_doaj_org_article_5cc90b70cf574305b9675d207a1e0a76
10_1097_TXD_0000000000001617
38606350
Genre Journal Article
GroupedDBID 1J1
53G
AAAAV
AAAXR
AAGIX
AAHPQ
AAIQE
AAJCS
AAMOA
AAMTA
AAQKA
AARTV
AASCR
AAUEB
ABASU
ABDIG
ABVCZ
ABXVJ
ACCJW
ACEWG
ACGFS
ACILI
ACXJB
ACXNZ
ADBBV
ADGGA
ADHPY
ADPDF
AEBDS
AFDTB
AFEXH
AFSOK
AFUWQ
AGOPY
AHOMT
AHQNM
AHVBC
AIJEX
AINUH
AJIOK
AJNWD
AJZMW
AKULP
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AOHHW
AOIJS
BCNDV
BQLVK
DIWNM
EEVPB
ERAAH
EX3
FCALG
GNXGY
GQDEL
GROUPED_DOAJ
HLJTE
HYE
IKREB
IKYAY
M~E
NPM
ODMTH
OHYEH
OK1
OPUJH
OVD
OVDNE
OVEED
OVIDH
OVLEI
OVOZU
OXXIT
RLZ
RPM
TEORI
TSPGW
AAYXX
CITATION
7X8
5PM
ID FETCH-LOGICAL-c468t-70f41596086f43e8dc4fc8914ec660723f7c65a9abde7d96ad93e4f01904d97b3
IEDL.DBID RPM
ISSN 2373-8731
IngestDate Fri Oct 04 13:12:38 EDT 2024
Tue Sep 17 21:29:38 EDT 2024
Sat Aug 17 05:28:30 EDT 2024
Fri Aug 23 04:32:12 EDT 2024
Wed Oct 09 10:30:16 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 5
Language English
License Copyright © 2024 The Author(s). Transplantation Direct. Published by Wolters Kluwer Health, Inc.
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c468t-70f41596086f43e8dc4fc8914ec660723f7c65a9abde7d96ad93e4f01904d97b3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ORCID 0000-0002-0014-9230
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11005898/
PMID 38606350
PQID 3038436306
PQPubID 23479
ParticipantIDs doaj_primary_oai_doaj_org_article_5cc90b70cf574305b9675d207a1e0a76
pubmedcentral_primary_oai_pubmedcentral_nih_gov_11005898
proquest_miscellaneous_3038436306
crossref_primary_10_1097_TXD_0000000000001617
pubmed_primary_38606350
PublicationCentury 2000
PublicationDate 2024-05-01
PublicationDateYYYYMMDD 2024-05-01
PublicationDate_xml – month: 05
  year: 2024
  text: 2024-05-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Hagerstown, MD
PublicationTitle Transplantation direct
PublicationTitleAlternate Transplant Direct
PublicationYear 2024
Publisher Lippincott Williams & Wilkins
Wolters Kluwer
Publisher_xml – name: Lippincott Williams & Wilkins
– name: Wolters Kluwer
References Watkin (R12-20240805) 2015; 47
Patwardhan (R13-20240805) 2019; 17
Chen (R1-20240805) 2015; 34
Bostanci (R9-20240805) 2020; 90
Geraci (R11-20240805) 2021; 31
Sugimoto (R15-20240805) 2022; 164
Otani (R7-20240805) 2022; 52
Yusen (R6-20240805) 2014; 14
Joshi (R10-20240805) 2022; 14
Battafarano (R5-20240805) 2000; 120
Chen (R4-20240805) 2012; 42
Date (R3-20240805) 2003; 126
Clavien (R2-20240805) 2009; 250
Nakajima (R8-20240805) 2022; 165
Yoshiyasu (R14-20240805) 2021; 112
References_xml – volume: 250
  start-page: 187
  year: 2009
  ident: R2-20240805
  article-title: The Clavien-Dindo classification of surgical complications: five-year experience.
  publication-title: Ann Surg
  doi: 10.1097/SLA.0b013e3181b13ca2
  contributor:
    fullname: Clavien
– volume: 52
  start-page: 1540
  year: 2022
  ident: R7-20240805
  article-title: Paediatric lung transplantation: the impact of age on the survival.
  publication-title: Surg Today
  doi: 10.1007/s00595-022-02492-w
  contributor:
    fullname: Otani
– volume: 112
  start-page: e365
  year: 2021
  ident: R14-20240805
  article-title: Familial interstitial pneumonia revealed after living-donor lobar lung transplantation.
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2021.02.021
  contributor:
    fullname: Yoshiyasu
– volume: 47
  start-page: 654
  year: 2015
  ident: R12-20240805
  article-title: COPA mutations impair ER-Golgi transport and cause hereditary autoimmune-mediated lung disease and arthritis.
  publication-title: Nat Genet
  doi: 10.1038/ng.3279
  contributor:
    fullname: Watkin
– volume: 14
  start-page: e23121
  year: 2022
  ident: R10-20240805
  article-title: Variations in pulmonary fissure: a source of collateral ventilation and its clinical significance.
  publication-title: Cureus
  contributor:
    fullname: Joshi
– volume: 90
  start-page: 608
  year: 2020
  ident: R9-20240805
  article-title: Variations in pulmonary fissural anatomy: a medicolegal autopsy study of 256 cases.
  publication-title: ANZ J Surg
  doi: 10.1111/ans.15553
  contributor:
    fullname: Bostanci
– volume: 31
  start-page: 161
  year: 2021
  ident: R11-20240805
  article-title: Postoperative air leaks after lung surgery: predictors, intraoperative techniques, and postoperative management.
  publication-title: Thorac Surg Clin
  doi: 10.1016/j.thorsurg.2021.02.005
  contributor:
    fullname: Geraci
– volume: 165
  start-page: 2193
  year: 2022
  ident: R8-20240805
  article-title: Living-donor segmental lung transplantation for pediatric patients.
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2022.07.031
  contributor:
    fullname: Nakajima
– volume: 164
  start-page: 440
  year: 2022
  ident: R15-20240805
  article-title: Long-term outcomes of living-donor lobar lung transplantation.
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2021.08.090
  contributor:
    fullname: Sugimoto
– volume: 120
  start-page: 909
  year: 2000
  ident: R5-20240805
  article-title: Perioperative complications after living donor lobectomy.
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1067/mtc.2000.110685
  contributor:
    fullname: Battafarano
– volume: 14
  start-page: 1846
  year: 2014
  ident: R6-20240805
  article-title: Morbidity and mortality of live lung donation: results from the RELIVE study.
  publication-title: Am J Transplant
  doi: 10.1111/ajt.12771
  contributor:
    fullname: Yusen
– volume: 126
  start-page: 476
  year: 2003
  ident: R3-20240805
  article-title: Living-donor lobar lung transplantation for various lung diseases.
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/S0022-5223(03)00235-6
  contributor:
    fullname: Date
– volume: 42
  start-page: e138
  year: 2012
  ident: R4-20240805
  article-title: Pulmonary arterioplasty for the remaining arterial stump of the donor and the arterial cuff of the donor graft in living-donor lobar lung transplantation.
  publication-title: Eur J Cardiothorac Surg
  doi: 10.1093/ejcts/ezs460
  contributor:
    fullname: Chen
– volume: 17
  start-page: 59
  year: 2019
  ident: R13-20240805
  article-title: An unprecedented COPA gene mutation in two patients in the same family: comparative clinical analysis of newly reported patients with other known COPA gene mutations.
  publication-title: Pediatr Rheumatol Online J
  doi: 10.1186/s12969-019-0359-9
  contributor:
    fullname: Patwardhan
– volume: 34
  start-page: 1089
  year: 2015
  ident: R1-20240805
  article-title: Postoperative pulmonary function and complications in living-donor lobectomy.
  publication-title: J Heart Lung Transplant
  doi: 10.1016/j.healun.2015.03.016
  contributor:
    fullname: Chen
SSID ssj0001466423
Score 2.3090875
Snippet Living donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and without...
Background. Living donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and...
BackgroundLiving donor lobar lung transplantation is a life-saving procedure for critically ill patients. This requires 2 healthy donors exposed to risks and...
SourceID doaj
pubmedcentral
proquest
crossref
pubmed
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage e1617
SubjectTerms Lung Transplantation
SummonAdditionalLinks – databaseName: Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrZ3JasMwEIZFyamX0tLN3VChVxPb2o9tFkJJe0ogN6PNNFDskOX9K1lOsEOhl_poGyxmZOYfaeYTAC_UmEIqTGKBrYyxTEUssgLFCbeYKGpFaKT9-KSTOX5fkEXrqC9fExbwwMFwfaK1SBRLdEGYx1Mp4SSuyRImU5tIFmDbKWklU_XqiqemZ2jfKydYf7YYBlZhc3ld34lFNbL_N515XC7Zij_jc3DWCEf4GgZ8AU5seQlG_qzdamUDvhsO2vXhcFnC6dKvF8BhVVbrDXT6FE7dzw0D0fxbhraj8grMx6PZYBI3ByPEGlO-jVlSuLjrcg9OC4wsNxoXmosUW01pwjJUME2JFFIZy4yg0ghkceHbxrERTKFr0Cur0t4CyAzChhkPpjMYGa2MM7NyOoRzbVCqIxDvTZSvAv8i3-9bO5PmxyaNwJu34-FdT6-ubzif5o1P8798GoHnvRdyN9v9FoYsbbXb5C7gcoyoy3MicBO8cvgU4i4ZQySJAO_4qzOW7pNy-VUTtT03j3DB7_5j9PfgNHPKJ1RFPoDedr2zj065bNVTPUl_AKOn6Zg
  priority: 102
  providerName: Directory of Open Access Journals
Title Postoperative Complications in Living Donors for Lung Transplantation
URI https://www.ncbi.nlm.nih.gov/pubmed/38606350
https://search.proquest.com/docview/3038436306
https://pubmed.ncbi.nlm.nih.gov/PMC11005898
https://doaj.org/article/5cc90b70cf574305b9675d207a1e0a76
Volume 10
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3JTsMwEB0VTlwQiC0slZG4hqax4-UILQihFnEoUm-Rt0AlcKpS_h87blCLOJFjFjmamWTes2eeAa6oMZVUpEgFsTIlsi9SkVc4zbglhaJWxEba8RN9eCGP02LaAdr2wjRF-1rNrt37x7WbvTW1lfMP3WvrxHrP40GQOSu44L0t2GIYr3H0ZmYlKKbnuO2TE6w3mQ6jTuHqCJh-Iw81cv1_YczfpZJrued-D3ZXoBHdxJfbh451B3AX9tmt5zZKd6PBem04mjk0moW5AjSsXb34RB6bopH_sFFUM3-XseXIHcLL_d1k8JCuNkVINaF8mbKs8jnX8w5OK4ItN5pUmos-sZrSjOW4YpoWUkhlLDOCSiOwJVVoGSdGMIWPYNvVzp4AYgYTw0wQpTMEG61MwYjyGIRzbXBfJ5C2JirnUfuibNesvUnL3yZN4DbY8efeoFzdnKgXr-XKf2WhtcgUy3TlB_M_GyU8ZTF5xmTfZpLRBC5bL5Q-0sPyhXS2_vosfbLlBFPPcRI4jl75GQpzT8RwkSXAN_y18S6bV3xwNWrabTCd_v_RM9jJPdaJdZDnsL1cfNkLj1WWqttw_G4ToN-H7Opm
link.rule.ids 230,315,733,786,790,870,891,2115,27957,27958,53827,53829
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3PT9swFH5icGCXMTS2ZcDmSVzTprHjH0cooG5rEYei9Rb5V7Zq4FSlvfDXY8cNaqtdthzjRHb8xX7fs9_7DHBGjamkIkUqiJUpkT2RirzCacYtKRS1IibSjm7o4I58nxSTHaBtLkwTtK_VtOPuHzpu-ruJrZw96G4bJ9a9HfWDzFnBBe--gj0_YHO25qU3aytBMz3HbaacYN3x5DIqFa6uwOo3LFEj2P83lrkdLLlmfa4P4Gfb7hh08qezXKiOftqSdPz3D3sLb1aEFJ3H8kPYse4dXIUzfOuZjbLgqL8ed46mDg2nYR0CXdaunj8iz3vR0E8aKCql38uYzuSO4O76atwfpKsDF1JNKF-kLKu8Pfc-DacVwZYbTSrNRY9YTWnGclwxTQsppDKWGUGlEdiSKqSjEyOYwu9h19XOfgTEDCaGmSB4Zwg2WpmCEeX5Defa4J5OIG07v5xFXY2y3Q_3YJXbYCVwERB6eTaoYjc36vmvctWFZaG1yBTLdOUr8xOZEt4dMnnGZM9mktEEvrb4ln4Uha0R6Wy9fCy9IecEU-8_JfAh4v1SFebeycNFlgDf-BM22rJZ4vFtlLpbPD_9_6tfYH8wHg3L4bebH8fwOvecKsZbnsDuYr60p54TLdTnZgA8A1JNC6k
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3JbtswEB20KVD00rToEjVdVKBXWbJIcTm2doy0dYIcEsBADwLX1khCGV4u-fqQohTYRk_RUaJAUk_kzJBvHgG-Ea2tkLjKODYiw2LIM15alBXM4EoSw2Mi7dk5Ob3Cv2bVrGNVrjpapVNyPnA3twM3_9dyKxe3Ku95YvnF2SjInFWMs3yhbf4UnvlBW_KtSL1dXwm66SXqs-U4zS9n46hW2F3Bs9-xRq1o__88zX3C5JYFmhzCn77tkXhyPdis5UDd7ck6Pq5zr-Bl55im32OZ1_DEuDdwEs7ybRYmyoOno23-eTp36XQe1iPSceOa5Sr1_m869ZNHGhXTb0RMa3Jv4Wpycjk6zbqDFzKFCVtntLDervvYhhGLkWFaYasYH2KjCCloiSxVpBJcSG2o5kRojgy2IS0da04legcHrnHmCFKqEdZUB-E7jZFWUlcUS-_nMKY0GqoEsh6AehH1Nep-X9wDVu8DlsCPgNJD2aCO3d5oln_r7jPWlVK8kLRQ1lfmJzTJfViky4KKoSkEJQl87TGu_WgKWyTCmWazqr1BZxgRH0cl8D5i_lAVYj7YQ1WRANv5G3basvvEY9wqdveYfnj8q1_g-cV4Uk9_nv8-hheld60i7fIjHKyXG_PJu0Zr-bkdA_e-DA4p
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Postoperative+Complications+in+Living+Donors+for+Lung+Transplantation&rft.jtitle=Transplantation+direct&rft.au=Shin+Tanaka%2C+MD&rft.au=Kento+Fujii%2C+MD&rft.au=Megumi+Ishihara%2C+RN&rft.au=Haruki+Choshi%2C+MD&rft.date=2024-05-01&rft.pub=Wolters+Kluwer&rft.eissn=2373-8731&rft.volume=10&rft.issue=5&rft.spage=e1617&rft_id=info:doi/10.1097%2FTXD.0000000000001617&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_5cc90b70cf574305b9675d207a1e0a76
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2373-8731&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2373-8731&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2373-8731&client=summon