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1000 Consecutive Liver Transplants. Descriptive Analysis and Evolution of a Single Center
- Source :
- Cirugía Española (English Edition). 96:268-275
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Between 1991 and 2013, 1,000 liver transplantations were performed at Virgen del Rocio Hospital (Seville, Spain). A retrospective study was conducted, analyzing the characteristics of recipients and donors, indications, surgical technique, complications and survival in 2 different stages (1991-2002 vs. 2003-2013) coinciding with the implementation of the MELD scale as a prioritization model. The most frequent indication were of hepatopathy of hepatocellular origin in 48.8%. There was a significant increase in the indications for hepatocarcinoma (8.6% and 24.1% P=0.03), and the rate of retransplantation (5.9% vs 9.6%, P=0.04). There was a change in the age of donation, going from 27.7 years in 1990 to 62.9 years in 2012 (P=0.001). The percentage of patients who did not require blood transfusion doubled (6.16 vs. 14.31%, P=.001). Survival of all patients after one, 5 and 10 years was 77, 63.5 and 51.3%, respectively.
- Subjects :
- Adult
Male
Prioritization
medicine.medical_specialty
Blood transfusion
Adolescent
medicine.medical_treatment
Liver transplants
Liver transplantation
Single Center
Young Adult
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
medicine
Humans
Young adult
Survival rate
Retrospective Studies
business.industry
Liver Diseases
General Engineering
Retrospective cohort study
Middle Aged
Liver Transplantation
Surgery
Survival Rate
Treatment Outcome
030220 oncology & carcinogenesis
Female
030211 gastroenterology & hepatology
business
Subjects
Details
- ISSN :
- 21735077
- Volume :
- 96
- Database :
- OpenAIRE
- Journal :
- Cirugía Española (English Edition)
- Accession number :
- edsair.doi.dedup.....e10093d4fb41213ad681abfea380cf21