ABO incompatible liver transplantation / 中华肝胆外科杂志
Chinese Journal of Hepatobiliary Surgery
; (12): 742-744, 2010.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-386373
Responsible library:
WPRO
ABSTRACT
Objective To explore the treatment of ABO-incompatible orthotopic liver transplantation. Methods Nine cases of ABO-incompatible liver transplantation performed in our hospital were analyzed retrospectively. Plasma exchange was done before the operation in 1 case. Hepatic artery and biliary duct anastomosis were performed by the microvascular technique. Splenectomy was done during operation in 5 cases. The immunosuppressive protocol included a quadruple drug therapy. Blood oxygen saturation was maintained above 95% and anticoagulant therapy was performed after operation.Results Four patients recovered smoothly without complications. Postoperative complications included acute rejection in 3 patients and biliary nonanastomotic stricture in 4. Three patients died. Conclusion ABO-incompatible orthotopic liver transplantation can be used when the graft is scarce, and should manage to decrease the complications.
Full text:
Available
Database:
WPRIM (Western Pacific)
Type of study:
Practice guideline
Language:
Chinese
Journal:
Chinese Journal of Hepatobiliary Surgery
Year:
2010
Document type:
Article