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| 1 | Pre-and intraoperative predictors of acute kidney injury after liver transplantation显示文摘BACKGROUND Acute kidney injury(AKI)after liver transplantation(LT)is a frequent and multifactorial event related to increased morbidity and mortality.Risk factors for AKI after LT still need to be clarified.AIM To identify the predictors of acute kidney injury after liver transplantation.METHODS The frequency and pre-and intraoperative predictors of AKI within the first 7 d after LT were evaluated in adult liver transplant candidates in a single LT center in Croatia.AKI was defined according to the Kidney Disease:Improving Global Outcomes criteria.RESULTS Out of 205 patients(mean age 57±10 years;73.7%males,52.7%with alcoholrelated liver disease)93(45.36%)developed AKI,and the majority of them(58.06%)had stage 1.Only 5.38%of patients required renal replacement therapy after LT.The majority of patients(82.8%)developed AKI within the first two days after the procedure.Multivariate logistic regression identified pre-LT body mass index(OR=1.1,95%CI:1.05-1.24)and red blood cell transfusion(OR=1.66,95%CI:1.09-2.53)as independent predictors of early post-LT AKI occurrence.30-d survival after LT was significantly better for patients without AKI(P=0.01).CONCLUSION Early AKI after LT is a frequent event that negatively impacts short-term survival.The pathogenesis of AKI is multifactorial,but pre-LT BMI and intraoperative volume shifts are major contributors. | Anna Mrzljak Lucija Franusic Jadranka Pavicic-Saric Tomislav Kelava Zeljka Jurekovic Branislav Kocman Danko Mikulic Ivan Budimir-Bekan Mladen Knotek | 2020 | World Journal of Clinical Cases2020，8，18： | 4 |
| 2 | Distally hased venous flap:a new technique for the correction of syndaetyly without skin graft in adult patients 显示文摘 | End-of-skin grafts in flap for web Space defeets Cil Y Kocman AE Yapici AK | 2009 | Chir Orqani Mov2009，93，3： | 1 |
| 3 | Contribution of contaminatedsites to the global mercury budget 显示文摘 | Kocman D Horvat M Pirrone N | 2013 | Environmental Research2013，125，0： | 1 |
| 4 | Inflammatory malignant fibrous histiocytoma of the retroperitoneum显示文摘 | Cvjetko I Kocman B Sitic S | 2011 | Coll Antropol2011，35，1： | 1 |
| 5 | Fibrin glue-antibiotic mixture in the treatment of anal fistulae: experience with 69 cases显示文摘 | PATRLJL KOCMAN B MARTINAC M | 2000 | Dig Surg2000，17，1： | 1 |
| 6 | Evaluation of centrifugal ultrafilters for size fractionation of total mercury and methylmercury in freshwaters显示文摘 | Kocman D Brooks S C Miller C L | 2013 | Environmental Chemistry2013，10，4： | 1 |
| 7 | Homogeneity and persistence of transgene expression by omitting antibiotic selection in cell line isolation 显示文摘 | Kaufman W L Kocman I Agrawal V | 2008 | Nucleic Acids Res2008，36，17： | 1 |
| 8 | Hydrogeoehemistry of Alpine springs from North Slovenia: Insights frortx stable iso- topes显示文摘 | Kandub T Mori N Kocman D | 2012 | Chemical Geology2012，，： | 1 |
| 9 | Role of total pancreatectomy in the treatment of paraduodenal pancreatitis:A case report显示文摘BACKGROUND Paraduodenal pancreatitis(PP)is a rare form of chronic pancreatitis presenting with symptoms of duodenal obstruction.Conservative treatment is often unsuccessful and pancreaticoduodenectomy is the preferred surgical approach.A mini review of the outcomes of surgical therapy for PP shows that the results of pancreaticoduodenectomy are predominantly favorable.CASE SUMMARY In our case report of PP,we describe an unusual course first presenting with the symptoms of chronic pancreatitis and a pseudocyst of the pancreatic tail.A pseudocystojejunostomy was performed and the late postoperative course was complicated with the symptoms of duodenal obstruction.At laparotomy,PP was found and the patient was treated with a total pancreatectomy.The postoperative course was uneventful and good weight gain with resolution of pain was demonstrated at follow up visits.CONCLUSION Surgery is currently the optimal treatment option for PP.It is also the best diagnostic tool in distinguishing between pancreatitis and pancreatic adenocarcinoma. | Danko Mikulic Tomislav Bubalo Anna Mrzljak Anita Skrtic Stipislav Jadrijevic Tajana Filipec Kanizaj Branislav Kocman | 2019 | World Journal of Gastrointestinal Surgery2019，11，6： | 1 |
| 10 | Descriptions of some new subspecies of lepidoptera from China显示文摘 | Kocman S | 1999 | Wallace1999，5，： | 1 |
| 11 | Radial bone graft usage for nasal septal reconstruction显示文摘 | Yakup Cil Atacan Emre Kocman Abdul Kerim Yapici | 2011 | Indian J Plast Surg2011，44，1： | 1 |
| 12 | Mercury fractionation in contaminated soils from the Idrija mercury mine region显示文摘 | Kocman D Horvat M Kotnik J | | 0，，： | 1 |
| 13 | Living donor liver transplantation for unresectable liver metastases from solid pseudo-pa- pillary tumor of the pancreas: a case report 显示文摘 | Kocman B Jadrijevic S Skopljanac A | 2008 | Transplant Proe2008，40，10： | 1 |
| 14 | The role of flue gas desulphurisation in mercury speciation and distribution in a lignite burning power plant显示文摘 | Andrej Stergar?ek Milena Horvat Jo?e Kotnik Janja Tratnik Peter Frkal David Kocman Radojko Ja?imovi? Vesna Fajon Maja Ponikvar Iztok Hrastel Jo?e Lenart Branko Debeljak Majda ?uje? | 2008 | Fuel2008，，17： | 1 |
| 15 | Mercury fractionation in contaminated soils from the Idrija mercury mine region显示文摘 | Kocman D Horvat M Kotnik J | 2004 | J Environ Monit2004，6，8： | 1 |
| 16 | Bodycaiposition in renal transplant patients: bioinpedanceanalysis ccnpared to isotope dilution, dual energy X-ray absorpt icmetry, and anthrc^cmetry 显示文摘 | van den Pfem EC Kocman JP Christiaans | 1999 | Am SocNerdTrol1999，10，： | 1 |
| 17 | Constrictive pericarditis as a cause of refractory ascites after liver transplantation:A case report显示文摘BACKGROUND Refractory ascites is a rare complication following orthotopic liver transplantation(OLT).The broad spectrum of differential diagnosis often leads to delay in diagnosis.Therapy depends on recognition and treatment of the underlying cause.Constrictive pericarditis is a condition characterized by clinical signs of right-sided heart failure.In the advanced stages of the disease,hepatic congestion leads to formation of ascites.In patients after OLT,cardiac etiology of ascites is easily overlooked and it requires a high degree of clinical suspicion.CASE SUMMARY We report a case of a 55-year-old man who presented with a refractory ascites three months after liver transplantation for alcoholic cirrhosis.Prior to transplantation the patient had a minimal amount of ascites.The transplant procedure and the early postoperative course were uneventful.Standard posttransplant work up failed to reveal any typical cause of refractory post-transplant ascites.The function of the graft was good.Apart from atrial fibrillation,cardiac status was normal.Eighteen months post transplantation the patient developed dyspnea and severe fatigue with peripheral edema.Ascites was still prominent.The presenting signs of right-sided heart failure were highly suggestive of cardiac etiology.Diagnostic paracentesis was suggestive of cardiac ascites,and further cardiac evaluation showed typical signs of constrictive pericarditis.Pericardiectomy was performed followed by complete resolution of ascites.On the follow-up the patient remained symptom-free with no signs of recurrent ascites and with normal function of the liver graft.CONCLUSION Refractory ascites following liver transplantation is a rare complication with many possible causes.Broad differential diagnosis needs to be considered. | Miran Bezjak Branislav Kocman Stipislav Jadrijevic Hrvoje Gasparovic Anna Mrzljak Tajana Filipec Kanizaj Darko Vujanic Tomislav Bubalo Danko Mikulic | 2019 | World Journal of Clinical Cases2019，7，20： | 0 |
| 18 | Influence of donor age on liver transplantation outcomes: A multivariate analysis and comparative study显示文摘BACKGROUND The growing disparity between the rising demand for liver transplantation(LT)and the limited availability of donor organs has prompted a greater reliance on older liver grafts.Traditionally,utilizing livers from elderly donors has been associated with outcomes inferior to those achieved with grafts from younger donors.By accounting for additional risk factors,we hypothesize that the utili-zation of older liver grafts has a relatively minor impact on both patient survival and graft viability.AIM To evaluate the impact of donor age on LT outcomes using multivariate analysis and comparing young and elderly donor groups.METHODS In the period from April 2013 to December 2018,656 adult liver transplants were performed at the University Hospital Merkur.Several multivariate Cox propor-tional hazards models were developed to independently assess the significance of donor age.Donor age was treated as a continuous variable.The approach involved univariate and multivariate analysis,including variable selection and assessment of interactions and transformations.Additionally,to exemplify the similarity of using young and old donor liver grafts,the group of 87 recipients of elderly donor liver grafts(≥75 years)was compared to a group of 124 recipients of young liver grafts(≤45 years)from the dataset.Survival rates of the two groups were estimated using the Kaplan-Meier method and the log-rank test was used to test the differences between groups.RESULTS Using multivariate Cox analysis,we found no statistical significance in the role of donor age within the constructed models.Even when retained during the entire model development,the donor age's impact on survival remained insignificant and transformations and interactions yielded no substantial effects on survival.Consistent insigni-ficance and low coefficient values suggest that donor age does not impact patient survival in our dataset.Notably,there was no statistical evidence that the five developed models did not adhere to the proportional hazards assumption.When comparing donor age groups,transplantation using elderly grafts showed similar early graft function,similar graft(P=0.92),and patient survival rates(P=0.86),and no significant difference in the incidence of postoperative complications.CONCLUSION Our center's experience indicates that donor age does not play a significant role in patient survival,with elderly livers performing comparably to younger grafts when accounting for other risk factors. | Miran Bezjak Ivan Stresec Branislav Kocman Stipislav Jadrijević Tajana Filipec Kanizaj Miro Antonijević Bojana Dalbelo Bašić Danko Mikulić | 2024 | World Journal of Gastrointestinal Surgery2024，16，2： | 0 |
| 19 | Liver re-transplantation for donor-derived neuroendocrine tumor: A case report显示文摘BACKGROUND Donor-origin cancer is a well-recognized but rare complication after liver transplantation (LT). The rise in the use of extended criteria donors due to the current shortage of organs increases the risk. Data on donor-origin neuroendocrine neoplasms (NENs) and the most appropriate treatment are scarce. Here, we report a case of a patient who developed a NEN confined to the liver after LT and was treated with liver re-transplantation (re-LT). CASE SUMMARY A 49-year-old man with no other medical co-morbidities underwent LT in 2013 for alcoholic liver cirrhosis. The donor was a 73-year-old female with no known malignancies. Early after LT, a hypoechogenic (15 mm) lesion was detected in the left hepatic lobe on abdominal ultrasound. The lesion was stable for next 11 mo, when abdominal magnetic resonance identified two hypovascular lesions (20 and 11 mm) with atypical enhancement pattern. Follow-up abdominal ultrasound revealed no new lesions for the next 2.5 years, when magnetic resonance showed a progression in size and number of lesions, also confirmed by abdominal computed tomography. Liver biopsy proved a well-differentiated NEN. Genetic analysis of the NEN confirmed donor origin of the neoplasm. As NEN was confined to liver graft only, in 2018, the patient underwent his second LT. At 12 mo after re-LT the patient is well with no signs of NEN dissemination. CONCLUSION The benefits of graft explantation should be weighed against the risks of re-LT and the likelihood of NEN dissemination beyond the graft. | Anna Mrzljak Branislav Kocman Anita Skrtic Ivana Furac Jelena Popic Lucija Franusic Renata Zunec Davor Mayer Danko Mikulic | 2019 | World Journal of Clinical Cases2019，7，18： | 0 |
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