One hundred three patients underwent LDLT between May 2001 and December 2007. ACR were diagnosed based on the pathological findings.
The incidence of ACR was 46.6 % (48/103); ACR was diagnosed an average of 13.5 days after LDLT. The average REC at 4 and 2 days before the onset ACR (n = 39) within 30 postoperative day (POD) was 4.3 % and 7.3 % , respectively, and 9.0 % at the onset. Patients with ACR showed significantly higher levels of REC compared with those free of ACR (P = .039). REC thresholds of 10 % at POD 7 displayed a sensitivity and specificity of ACR detection of 80 % and 75 % , respectively. Moreover, the accumulated morbidity ratio of ACR within 30 POD was significantly higher with REC >10 % at POD 7 (P = .007).
ACR within POD 30 should be considered when REC is >10 % at POD 7 after LDLT.