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001-es BibID:	BIBFORM064152
Első szerző:	Nemes Balázs Áron (sebész)
Cím:	Technical Risk Factors for Hepatic Artery Thrombosis After Orthotopic Liver Transplantation : the Hungarian Experience / B. Nemes, G. Gaman, F. Gelley, A. Doros, G. Zadori, D. Gorog, I. Fehervari, L. Kobori
Dátum:	2013
ISSN:	0041-1345
Megjegyzések:	Hepatic artery thrombosis (HAT) significantly affects graft loss and mortality afterorthotopic liver transplantation (OLT). The aim of this study was to analyze the risk factorsof HAT in our program, with special regard to the personal-technical factor. We retrospectivelyanalyzed the data of 500 adult liver transplant recipients between 1995 and 2011.Operations were performed by a certain group of surgeons, with standardized technique.The incidence rate of HAT decreased since 1995 from 12% to 7.8%. In accordance withthe literature, HAT associated with acute rejection, polytransfusion, and the durationof the hepatectomy, arterial variations/reconstructions, tiny arteries, and furthermore, thetiming of the anastomosis in Hungary. However we did not find an association with otherparameters, like cytomegalovirus infection, and hepatocellular carcinoma as indication.We created a "difficulty index" that consists of the technical parameters. The difficultyindex together with surgical experience (number of OLTs performed) had an outstandingassociation with HAT. In conclusion, the incidence and risk factors for HAT are similar tothe results published by others. However, personal factors, such as experience, timing,given anatomy, and tiredness, might also play a significant role in the occurrence of HAT.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Transplantation Proceedings 45 : 10 (2013), p. 3691-3694. -
További szerzők:	Gámán György Gelley Fanni Doros Attila Zádori Gergely (1983-) (sebész) Görög Dénes Fehérvári Imre Kóbori László
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