title: [Lung and heart-lung transplantation in Rabin medical center: early experience with 70 cases].
abstract: Lung transplantation is a relatively new field in solid organ transplantation. We present our early experience with the first 70 cases at the Rabin Medical Center during the years 1997-2003. Forty seven patients underwent single lung, eight double lung and eight heart-lung transplantations. The patients treated included 49 men and 21 women aged 5-66 years. There were 26 cases with emphysema COPD. 30 patients with pulmonary fibrosis. 5 patients with pulmonary hypertension/Eisenmenger and 9 patients with cystic fibrosis and bronchiectasis. Although early results (1997-1999) showed 1 and 3 year survival of only 50%, in the last 3 years (2000-2003), survival reached 84% and 82% at 1 and 3 years respectively. Improvement in the success rate is due to better patient selection, new immunosuppressive regimen and, most importantly, excellent teamwork. We conclude that lung transplantation is a viable option for selected patients with end-stage lung disease.
authors.affiliation: Pulmonary Institute, Cardiothoracic Surgery and Anesthesiology Departments, Rabin Medical Center.
authors.forename: Mordechai R
authors.initials: MR
authors.lastname: Kramer
authors.forename: Milton
authors.initials: M
authors.lastname: Saute
authors.forename: Leonid
authors.initials: L
authors.lastname: Eidelman
authors.forename: Dan
authors.initials: D
authors.lastname: Aravot
authors.forename: Gershon
authors.initials: G
authors.lastname: Fink
authors.forename: David
authors.initials: D
authors.lastname: Shitrit
authors.forename: Gabriel
authors.initials: G
authors.lastname: Izbicky
authors.forename: Gavriel
authors.initials: G
authors.lastname: Izvicky
authors.forename: Daniel Ben
authors.initials: DB
authors.lastname: Dayan
authors.forename: Ilana
authors.initials: I
authors.lastname: Bakal
authors.forename: Alex
authors.initials: A
authors.lastname: Kogan
authors.forename: Boris
authors.initials: B
authors.lastname: Gendel
authors.forename: Bernardo
authors.initials: B
authors.lastname: Vidne
authors.forename: Gideon
authors.initials: G
authors.lastname: Sahar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D016041:Heart-Lung Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D006801:Humans; D007557:Israel; D008171:Lung Diseases / Q000145:classification / Q000601:surgery; D016040:Lung Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016019:Survival Analysis; D013997:Time Factors