[Clinical experience with 13 cases of orthotopic liver transplantation].

Abstract

OBJECTIVE:

To review our experience with orthotopic liver transplantation.

METHODS:

Thirteen liver transplantation were performed in 12 patients (including one liver retransplantation), of whom 5 patients received the transplantation for end stage liver cirrhosis, 4 for primary liver carcinoma, 1 for liver failure after hepatectomy for liver cancer, 1 for Wilson's disease, and 1 for chronic renal failure and liver cirrhosis. Retransplantation was done in 1 patient for chronic graft rejection. Of the 13 operations, 10 underwent the classical procedures of orthotopic liver transplantation, while 2 adopted modified piggyback technique, with 1 of the patients receiving retransplantation.

RESULTS:

Nine patients survived the transplantation with the longest survival over 2 years. Four patients died in the perioperative period, due to intracerebral bleeding, adult respiratory distress syndrome, acute renal failure and hepatic artery thrombus, respectively.

CONCLUSIONS:

Liver transplantation is an effective treatment for various end-stage liver diseases. Strict patient selection, appropriate timing of the operation and proper perioperative care are all essential for the success of liver transplantation.

• Authors: Huan-wei Chen, Zuo-jun Zhen, Shu-ying Su, Zhuo-ming Xu, Lin Fei, Yong Ji
• Journal: Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA (Di Yi Jun Yi Da Xue Xue Bao) Vol. 24 Issue 4 Pg. 445-7 (Apr 2004) ISSN: 1000-2588 [Print] China
• PMID: 15090321 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Female
• Humans
• Liver Transplantation (adverse effects)
• Male
• Middle Aged
• Postoperative Complications (prevention & control)
• Reoperation