[Comparison of the results of conventional, crossclamp and piggyback technique in liver transplantation].
The authors evaluate the results of the technical variants of liver transplantion in the first 10 years. They present the technique of conventional and piggyback liver transplantation. Their aim is to compare the outcome of the two surgical implantation techniques. Using the piggyback technique, the need for intraoperative blood transfusion was less (10U) compared to conventional transplantion (15U). Vascular complication rate was lower with conventional, compared to piggy back technique. Hepatic artery thrombosis rate was higher (14% vs. 5%) while venous outflow occlusion rate was lower (0% vs. 8%) in conventional technique compared to piggyback. Postoperative kidney failure was more frequent after conventional and crossclamp technique (45%). The 1, 3, and 5 year cumulative patient survival rates were 62%, 55% and 52% in the conventional group, and 79%, 71% is 63% after piggyback. The 1, 3 and 5 years graft survival were 60%, 53% and 50% after conventional and 74%, 66% and 60% after piggyback implantation. The piggyback technique became routine standard procedure in Hungary, with lower transfusion need, less kidney failure and very good results.
Nemes
Balázs
B
Semmelweis Egyetem, Transzplantációs és Sebészeti Klinika, Budapest. nemes@trans.sote.hu
Kóbori
Lászlo
L
Fehérvári
Imre
I
Fazakas
János
J
Gerlei
Zsuzsa
Z
Ther
Gábor
G
Görög
Dénes
D
Perner
Ferenc
F
Doros
Attila
A
Sárváry
Eniko
E
Járay
Jeno
J
D000328:Adult; D001803:Blood Transfusion / Q000706:statistics & numerical data; D005260:Female; D006085:Graft Survival; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007430:Intraoperative Care / Q000379:methods; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D051437:Renal Insufficiency / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome