Abstract:
Objective To investigate the application and experience of liver transplantation in patients with end-stage liver disease who had a history of upper abdominal surgery.
Methods From April 2016 to December 2018, the clinical data of seven patients with end-stage liver disease who had a history of upper abdominal surgery successfully implemented in the First Affiliated Hospital of Anhui Medical University were retrospectively analyzed.
Results The seven recipients successfully completed the liver transplantation operation, the an-hepatic phase ranged from 55 to 80 (65.6±12.4) min, the bleeding volume ranged from 600 to 2 000 (1 314.3±749.7) ml and the operation time ranged from 7.5 to 10.8 (9.2±1.4) h.Postoperative treatment in ICU respiratory support time was (21.1±4.8) h, the duration of ICU stay was (58.6±24.9) h, the length of hospitalization was 11 to 34 (20.1±9.4) d, and the total hospitalization cost was 187.1 to 284.2 thousand yuan. Except one recipient died of abdominal hemorrhage 7 days after operation, the other 6 patients recovered liver function basically 2 weeks after operation, without serious surgical complications.
Conclusion For patients with end-stage liver disease who have a history of upper abdominal surgery, liver transplantation should strictly follow the indications of operation, select the appropriate timing of operation, precise and meticulous operation and individualized immunosuppression program, so as to achieve good clinical efficacy.
Key words:
Liver transplantation,
End stage liver disease,
History of upper abdominal surgery
Liujin Hou, Hongchuan Zhao, Xiaoping Geng, Fan Huang, Guobin Wang, Xiaojun Yu, Ruolin Wu, Zhenghui Ye, Qingqing Dai. Experience of liver transplantation for end-stage liver disease with the history of upper abdominal surgery[J]. Chinese Archives of General Surgery(Electronic Edition), 2019, 13(06): 441-445.