Comparison of two different techniques of reperfusion in adult orthotopic liver transplantation

Clinical Transplantation
Salvatore GruttadauriaBruno Gridelli

Abstract

The aim of this study was to determine the impact of two reperfusion techniques on the peri-operative hemodynamic changes and early post-operative graft function of adult patients undergoing orthotopic liver transplantation. From June 2003 to May 2004, 50 consecutive liver transplants were performed and divided into two groups: group A, 25 patients, portal vein flush with 500 cm(3) of Ringer's lactate without vena caval venting. Group B, 25 patients, vena caval venting with no portal vein flush. Donor and recipient characteristics were similar in both groups. Sixty-four different parameters were analyzed, and Pearson's chi(2) test and t-test were used for statistical analysis, p<or=0.05. One patient (4%) in group B experienced a post-reperfusion syndrome (PRS). Pearson's chi(2) test found a significant relationship between the analyzed parameters and the two different reperfusion techniques for 10 parameters (t-test analysis showed a significant difference between the two groups in favor of group A). In our transplant center, portal vein flush without vena caval venting provided a lower incidence of hemodynamic changes in the peri-operative period after liver transplantation and earlier recovery of the graft function.

References

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Citations

Jun 3, 2009·Clinical Transplantation·Wojciech G PolakMaarten J H Slooff
Jul 24, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Ho-Geol RyuYoun-Joung Cho
Apr 28, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·H-G RyuJ Lee
Jul 7, 2015·Transplant International : Official Journal of the European Society for Organ Transplantation·Philipp HoubenPeter Schemmer
Dec 4, 2015·Korean journal of anesthesiology·Sung-Moon Jeong
Apr 3, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Michael Ramsay
May 29, 2008·World Journal of Gastroenterology : WJG·Salvatore GruttadauriaBruno Gridelli
Dec 17, 2010·World Journal of Gastrointestinal Surgery·Salvatore GruttadauriaBruno Gridelli
Jan 29, 2016·World Journal of Gastroenterology : WJG·Antonio SiniscalchiStefano Faenza
Mar 16, 2012·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson

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