Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schmidt, J; Müller, SA; Mehrabi, A; Schemmer, P; Büchler, MW.
Orthotopic liver transplantation. Techniques and results].
Chirurg. 2008; 79(2):112-120
Doi: 10.1007/s00104-007-1452-z
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PubMed
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- Co-Autor*innen der Med Uni Graz
- Schemmer Peter
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- Abstract:
- Since 1963, orthotopic liver transplantation (OLT) has developed into an established interdisciplinary therapy concept for patients with end-stage liver disease, acute irreversible liver failure, and hepatic malignancies in selected cases. In 26 centers in Germany, around 900 full-size OLTs are performed annually. The classic technique has been replaced by the "piggyback" method, which has become the standard in many centres. Improvements in surgical techniques, anaesthetic protocols, and medical management along with the introduction of new immunosuppressive regimens and early adequate therapy against infections and transplant rejection have increased patient survival. These factors have resulted in 1-year survival rates of 80-90% and led to an increase in indications for OLT. Despite decades of experience, approximately 10% of the mortality in the first 3 months still can be traced to technical complications.
- Find related publications in this database (using NLM MeSH Indexing)
- Anastomosis, Surgical - methods
- Bile Ducts - surgery
- Hepatectomy - methods
- Hepatic Artery - surgery
- Humans -
- Liver - blood supply
- Liver Failure - surgery
- Liver Neoplasms - surgery
- Liver Transplantation - methods
- Portal Vein - surgery
- Postoperative Complications - etiology
- Postoperative Complications - mortality
- Survival Rate -
- Tissue Donors -
- Tissue and Organ Harvesting - methods
- Vena Cava, Superior - surgery
- Find related publications in this database (Keywords)
- liver transplantation
- piggyback
- complications
- results