[Venovenous bypass in 54 liver transplantations].
OBJECTIVE
To summarize hemodynamic and metabolic changes during bypass, and to evaluate the bypass in liver transplantation.


METHODS
Fifty-four patients underwent orthotopic liver transplantation with venovenous bypass from May 2000 to May 2002. Their clinical features were analysed.


RESULTS
SHR, MAP, CVP, CO, PaO(2), PaCO(2), serum K(+), Na(+), Ca(2+), BUN values were not significantly changed during bypass. Compared to the pre-bypass stage, pH was decreased in the post-bypass stage (P < 0.05), serum lactic acid value was increased in the bypass and post-bypass stage (P < 0.05), active clotting time was increased in the bypass stage (P < 0.05), serum creatinine value was increased on first postoperative day (P < 0.05).


CONCLUSIONS
Venovenous bypass could improve hemodynamic and metabolic stability in the anhepatic phase, but it also could increase operation duration, liver ischemic time and cost.
Zhu
Feng-xue
FX
Department of Hepatobiliary Surgery, People's Hospital of Beijing University, Beijing 100044, China.
Zhu
Ji-ye
JY
Li
Guang-ming
GM
Liu
Yan-nan
YN
Gao
Jie
J
Leng
Xi-sheng
XS
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology