title: The impact of experience of a transplantation center on the outcomes of orthotopic liver transplantation.
abstract: The so-called learning factor has been disregarded for many years in analyzing the causes of surgical complications and post-operative mortality; it is also the case for OLT. In our center until April 2003, 209 OLT were performed in 196 patients. We evaluated the impact of experience of the transplantation team on the outcomes of liver transplantation. Thirty-four patients died (mortality rate, 16%) and 1-year survival rate, 64%. Mortality rates varied during different periods of observation due to increasing experience of the transplantation team. The causes of mortality were assessed for a series of 34 patients: it was 75% at the beginning of transplantation procedures while recent deaths have not recently exceeded 10% of cases.
authors.affiliation: Medical Faculty of Warsaw, Medical University of Warsaw, Warsaw, Poland.
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authors.lastname: Krawczyk
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authors.lastname: Grzelak
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authors.lastname: Zieniewicz
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authors.lastname: Nyckowski
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authors.lastname: Michałowicz
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authors.lastname: Alsharabi
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authors.lastname: Wróblewski
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authors.lastname: Małkowski
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authors.lastname: Hevelke
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authors.lastname: Grodzicki
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authors.lastname: Kornasiewicz
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authors.lastname: Korba
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authors.initials: M
authors.lastname: Kotulski
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authors.lastname: Dudek
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authors.lastname: Fraczek
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authors.initials: B
authors.lastname: Najnigier
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authors.lastname: Alzayany
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authors.initials: A
authors.lastname: Paczkowska
authors.forename: R
authors.initials: R
authors.lastname: Gelo
authors.forename: P
authors.initials: P
authors.lastname: Andruszkiewicz
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authors.initials: M
authors.lastname: Siciński
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authors.initials: A
authors.lastname: Jurek-Gelo
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authors.initials: J
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authors.forename: D
authors.initials: D
authors.lastname: Giercuszkiewicz
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authors.initials: A
authors.lastname: Brudkowska
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authors.initials: R
authors.lastname: Andrzejewska
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authors.initials: G
authors.lastname: Niewinski
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authors.initials: R
authors.lastname: Nowak
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authors.initials: C
authors.lastname: Kosinski
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authors.initials: T
authors.lastname: Korta
authors.forename: U
authors.initials: U
authors.lastname: Ołdakowska-Jedynak
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authors.initials: J
authors.lastname: Sańko-Resmer
authors.forename: M
authors.initials: M
authors.lastname: Pawłowska
authors.forename: B
authors.initials: B
authors.lastname: Foroncewicz
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authors.initials: J
authors.lastname: Ziółkowski
authors.forename: M
authors.initials: M
authors.lastname: Niewczas
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authors.initials: K
authors.lastname: Mucha
authors.forename: G
authors.initials: G
authors.lastname: Senatorski
authors.forename: L
authors.initials: L
authors.lastname: Paczek
authors.forename: E
authors.initials: E
authors.lastname: Leowska
authors.forename: R
authors.initials: R
authors.lastname: Pacho
authors.forename: M
authors.initials: M
authors.lastname: Andrzejewska
authors.forename: O
authors.initials: O
authors.lastname: Rowiński
authors.forename: J
authors.initials: J
authors.lastname: Zurakowski
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authors.initials: B
authors.lastname: Wróblewska
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authors.initials: B
authors.lastname: Górnicka
mesh_terms: D005705:Gallbladder Diseases / Q000453:epidemiology; D006801:Humans; D016031:Liver Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000145:classification / Q000453:epidemiology; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome