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3. Postoperative Surgical Complications

Author

Baburao Koneru, Thomas E. Starzl, Adrian Cassavilla, Albert B. Zajko, James Bowman, and Andreas G. Tzakis

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Gastroenterology, medicine, Liver transplantation, business, Surgery
Abstract

Results of liver transplantation have dramatically improved since the introduction of cyclosporine. Most deaths occur within the first 3 postoperative months. Morbidity and mortality can be minimized by early diagnosis and aggressive management of postoperative surgical complications.

Published
1988
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6. Liver transplantation for malignant tumors

Author

Thomas E. Starzl, James Bowman, Shunzaburo Iwatsuki, Adrian Cassavilla, and Baburao Koneru

Subjects
medicine.medical_specialty, Biliary tract neoplasm, Cirrhosis, Carcinoma, Hepatocellular, business.industry, medicine.medical_treatment, Liver Neoplasms, Gastroenterology, Cancer, Subtotal Resection, Total Hepatectomy, Liver transplantation, medicine.disease, Article, Surgery, Hemangioendothelioma, Liver Transplantation, Biliary Tract Neoplasms, Internal medicine, Carcinoma, Medicine, Humans, business
Abstract

According to the National Cancer Institute’s statistics, 13,600 new cases of malignant tumors of the liver and biliary passages were expected to occur in 1986 in the United States.4 The optimal treatment for malignant liver tumors is partial or subtotal resection of the liver. These days resection can be done with a low mortality.12 The resectability rates reported vary from 5 per cent to 30 per cent in different series.8 Conceptually, total hepatectomy followed by orthotopic liver transplantation would be the only possible surgical method of cure if the tumor was too extensive to be resected without a total hepatectomy while still being confined solely to the liver. The same situation applies if a conventional resection was to be precluded by coexisting cirrhosis.

Published
1988

7. Comparison of UW with other solutions for liver preservation in dogs

Author

Todo, S, Podesta, L, Ueda, Y, Imventarza, O, Cassavilla, A, Oks, A, Okuda, K, Nalesnik, M, Venkataramanan, R, Starzl, TE, Todo, S, Podesta, L, Ueda, Y, Imventarza, O, Cassavilla, A, Oks, A, Okuda, K, Nalesnik, M, Venkataramanan, R, and Starzl, TE

Abstract

The efficacy of the University of Wisconsin (UW) solution was compared with conventional Euro-Collins solution, as well as with 3 variants of a silica gel solution developed at the University of Minnesota (UM). Protection of the liver grafts with UW was superior after 24 hour preservation, although the results were inferior to those with immediate transplantation, as judged by animal survival, liver function tests, coagulation, and histopathologic parameters. The UM-III solution allowed similar animal survival as with the UW solution. Lactobionate and raffinose that are contained in both the UW and UM-III solutions were thought to be essential constituents for long-term preservation of liver grafts. The study not only establishes, under controlled circumstances, the superiority of the UW solution, but it also provides insight about the reasons for its effectiveness as well as a caution against its over exploitation.

Published
1989

9. Postoperative surgical complications

Author

Koneru, B, Tzakis, AG, Bowman, J, Cassavilla, A, Zajko, AB, Starzl, TE, Koneru, B, Tzakis, AG, Bowman, J, Cassavilla, A, Zajko, AB, and Starzl, TE

Published
1988

10. Serological studies of adenoviral hepatitis following pediatric liver transplantation.

Author

Koneru B, Atchison R, Jaffe R, Cassavilla A, Van Thiel DH, and Starzl TE

Subjects
Adenoviridae isolation & purification, Adenoviridae Infections diagnosis, Antibodies, Viral analysis, Cell Line, Child, Hepatitis, Viral, Human diagnosis, Humans, Liver Transplantation physiology, Neutralization Tests, Adenoviridae Infections etiology, Hepatitis, Viral, Human etiology, Liver Transplantation adverse effects
Published
1990

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