Predictors of perioperative morbidity and mortality in adult living donor liver transplantations: report of results of a tertiary hospital

Ain-Shams Journal of Anesthesiology

Burcu Hizarci¹  Huseyin Oz¹  Pelin Karaaslan¹  Yavuz Demiraran¹  Gokhan Ertugrul²  Mesut Yilmaz³ 

[1] Department of Anesthesiology and Reanimation, Medipol University Medical Faculty, Istanbul, Turkey;Department of General Surgery, Division of Organ Transplantation, Medipol University Medical Faculty, Istanbul, Turkey;Department of Infectious Diseases, Medipol University Medical Faculty, Istanbul, Turkey;

关键词: Liver;    Living donor transplantation;    Mortality;   

DOI  :  10.1186/s42077-020-00094-7

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to investigate the risk factors effective in perioperative morbidity and mortality in 161 living donor liver transplantations (LDLT).ResultsThe most common indication for living donor transplantation was cryptogenic cirrhosis. The most common complication was biliary problems in 62.16% cases. Sepsis was the most common cause of in 52%. Patients in whom sepsis was observed, significantly prolonged stay under mechanical ventilation and prolonged ICU stay were detected. In patient group in whom mortality was observed, higher amounts of erythrocytes, fresh frozen plasma (FFP), and platelets were transfused, and patients remained longer under mechanical ventilation treatment, and in the ICU.ConclusionPerioperative morbidity and mortality was found to be significantly related with higher amounts of erythrocytes and FFP transfusions and longer operative and warm ischemia times. Sepsis was found to be the most common cause of mortality.

【 授权许可】

CC BY