[Liver retransplantation in adults: clinical course and results of 13 years' experience].
BACKGROUND
Liver retransplantation is the only alternative to irreversible graft failure. However, it remains a controversial treatment. The aim of this study was to analyze the clinical course and the results of liver retransplantation in our center.


METHODS
The actuarial survival in a series of 54 retransplantations in 49 patients between February 1984 and December 1997 was analyzed. The retransplantations were grouped according to period: group A (n = 16) 1984-1992, group B (n = 22) 1993-1995 and group C (n = 16) 1996-1997.


RESULTS
The actuarial survival per group according to year was: 31.25%, 54.55% and 62.50% for groups A, B, and C, respectively, which shows a clear improvement with time, although differences were not statistically significant.


CONCLUSIONS
The results of liver transplantation in our series show a lower actuarial survival rate than those of primary transplantation but these results have improved in recent years.
Pares
D
D
Unidad de Trasplante Hepatico, Hospital Princeps d'Espanya, Ciutat Sanitaria i Universitaria de Bellvitge, Universidad de Barcelona, Spain.
Figueras
J
J
Rafecas
A
A
Fabregat
J
J
Torras
J
J
Ramos
E
E
Lama
C
C
Guardiola
J
J
Casanovas
T
T
Casais
L
L
Jaurrieta
E
E
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D000368:Aged; D002423:Cause of Death; D005260:Female; D006085:Graft Survival; D006801:Humans; D016031:Liver Transplantation / Q000401:mortality* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000401:mortality / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology