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001-es BibID:	BIBFORM073227
Első szerző:	Nemes Balázs Áron (sebész)
Cím:	Retransplantations in the Hungarian liver transplant program / B. Nemes, Gy. Gaman, E. Sárváry, A. Doros, D. Gorog, I. Fehervari, L. Kobori
Dátum:	2013
ISSN:	0041-1345
Megjegyzések:	Retransplantation of the liver (ReOLT), not infrequent consequence of transplantation, was analyzed from 512 patient records between 1995 and 2012. The 34 cases (33 secondary and 1 tertiary). Of ReOLT all employed cadaveric donor organs. The 34 reOLT were performed in 31 adults and 3 children. The original indication for OLT, among these patients was usually primary sclerosing cholangitis (PSC) and acute liver failure (ALF): there were no alcoholic liver disease (ALD) patients. The indication for early reOLT (within 3 months) was hepatic artery thrombosis while the late reOLTs beyond 3 months after primary transplantation was nonanastomotic biliary stenosis. The cumulative patient versus graft survivals were 61%, 52%, and 52% versus 61%, 52%, and 52% in contrast with primary OLT rates of 81%, 75%, and 70% versus 79%, 72%, and 61% respectively at (P = .03). In conclusion, our data suggested that the characteristics and number of early reOLTs did not change over time. However, the rate of late reOLTs increased. This can be explained by the increased rate of late onset biliary complications in spite of proper interventional radiological treatment. The second conclusion is that hepatitis C virus (HCV) recurrence did not become a main indication among late reOLT. Since a center policy states that patients with an early, cholestatic HCV recurrence are not referred for a secondary transplantation.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban liver transplantation extended criteria donor survival outcome complications
Megjelenés:	Transplantation Proceedings 45 : 10 (2013), p. 3688-3690. -
További szerzők:	Gámán György Sárváry Enikő Doros Attila Görög Dénes Fehérvári Imre Kóbori László
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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