Back to Search
Start Over
Intraoperative Portal Vein Flow > 123 mL/min Per 100 g Predicts a Better Survival of Patients After Liver Transplantation
Intraoperative Portal Vein Flow > 123 mL/min Per 100 g Predicts a Better Survival of Patients After Liver Transplantation
- Source :
- Transplantation Proceedings. 50:3582-3586
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Objective To assess the importance of intraoperative portal vein flow measurement during liver transplantation in relation to postoperative complications and graft and patient survival. Materials and methods Retrospective review including 291 patients who had all the information and covering a period of 10 years (2007–2017). Using a receiver operating characteristic curve, a cut-off point that would have the greatest impact on the probability of being alive at 5 years was established. In relation to this value, 2 groups were formed (low and high flow) and demographic variables, intraoperative variables, postoperative complications, and graft and patient survival were compared. Results A portal flow of 123 mL/min per100 g of liver tissue was established (area under the curve = 0.58), obtaining a low-flow (n = 129) and a high-flow group (n = 162). The 2 groups were similar in their preoperative characteristics, except for a higher proportion of preoperative ascites, a higher Model for End-Stage Liver Disease score and a lower weight of donors in the high-flow group. The arterial and portal flows were significantly higher in the high-flow group. In the postoperative period, the high-flow group presented a higher rate of ascites. The 5-year survival rate of patients was significantly higher in the high-flow group (76% vs 84%, P = .03). Conclusions Patients undergoing liver transplantation with an intraoperative portal vein flow measurement >123 mL/min per 100 g present a greater 5-year survival rate.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Kaplan-Meier Estimate
030230 surgery
Liver transplantation
03 medical and health sciences
Liver disease
Postoperative Complications
0302 clinical medicine
Liver tissue
Ascites
medicine
Humans
Survival rate
Retrospective Studies
Transplantation
Receiver operating characteristic
Portal Vein
business.industry
Graft Survival
Retrospective cohort study
Middle Aged
Portal vein flow
medicine.disease
Liver Transplantation
Surgery
Liver
ROC Curve
Female
030211 gastroenterology & hepatology
medicine.symptom
business
Liver Circulation
Subjects
Details
- ISSN :
- 00411345
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Transplantation Proceedings
- Accession number :
- edsair.doi.dedup.....2ab6827d2fb1ec28cb23937c3a906cb5
- Full Text :
- https://doi.org/10.1016/j.transproceed.2018.06.032