Clinical study of liver re-transplantation / 中华外科杂志
Chinese Journal of Surgery
;
(12): 313-315, 2007.
Artículo
en Chino
| WPRIM
| ID: wpr-342176
ABSTRACT
<p><b>OBJECTIVE</b>To report experiences of liver re-transplantation.</p><p><b>METHODS</b>The cause of re-transplantation, the pre-operative MELD score, timing of re-transplantation, technical considerations, 1 year survival rate and the causes of death of the patients receiving liver re-transplantation in First Central Hospital of Tianjin between January 1999 and December 2005 were retrospectively analyzed.</p><p><b>RESULTS</b>One year survival rate of re-transplantation was 71.6%. The most common cause of hepatic graft failure and subsequent re-transplantation was biliary complications (45.5%). The 1 year survival rate of patients with a MELD score less than 20 was higher than patients with a score of 20 approximately 30 and > 30 (83.8% versus 57.1% and 66.7%). The peri-operative survival rate of patients who received re-transplantation 30 days after the initial transplantation was higher than those who received re-transplantation between 8 to 30 days post the first operation (83.8% versus 41.7%). The main cause of peri-operative death was celiac infections (accounted for 54.2% deaths) in the patients.</p><p><b>CONCLUSIONS</b>Proper indication selection, optimum operation time, right surgical procedure, intensified peri-operative monitoring and infection control are all crucial for the improvement of survival rate in patients receiving liver re-transplantation.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Reoperación
/
Análisis de Supervivencia
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Trasplante de Hígado
/
Recolección de Tejidos y Órganos
/
Usos Terapéuticos
/
Inmunosupresores
/
Métodos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adolescente
/
Adulto
/
Anciano
/
Niño
/
Child, preschool
/
Femenino
/
Humanos
/
Lactante
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2007
Tipo del documento:
Artículo
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