[Can the quality of a modest liver transplantation program compare to international standards? Results in Inselspital Berne].
Today, orthotopic liver transplantation is the treatment of choice for the endstage of various liver diseases, and a 1-year survival rate of over 80% is reported in international surveys. The liver transplant program of the Inselspital is very small compared to international centers and this may raise questions about the results and the justification for such a program. In a 24-month period, 20 liver transplants (including 2 retransplants) have been performed in 18 patients at the Inselspital. 2 patients (11%) died 20 and 268 days respectively after transplantation. 2 patients (11%) had significant morbidity 502 and 529 days respectively after transplantation. After a median follow-up of 11.5 months postoperatively, 14 (80% of all patients) lived an independent life. 9 (50%) were fully reintegrated in the household or in their profession and 5 others (30%) were working part time. We conclude that even a small liver transplant program based only on routine resources can achieve results comparable to international standards.
Seiler
C A
CA
Klinik für Viszerale und Transplantationschirurgie, Inselspital Bern.
Renner
E L
EL
Horber
F
F
Rieder
H
H
Reichen
J
J
Czerniak
A
A
D000328:Adult; D000368:Aged; D001379:Azathioprine / Q000627:therapeutic use; D016572:Cyclosporine / Q000627:therapeutic use; D005260:Female; D006084:Graft Rejection; D006764:Hospitals, Community; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D016031:Liver Transplantation / Q000401:mortality / Q000534:rehabilitation / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013557:Switzerland
D016572:Cyclosporine; D001379:Azathioprine
Kann sich die Qualität eines kleinen Lebertransplantations-Programms mit dem internationalen Standard messen? Resultate am Inselspital Bern.