Orthotopic liver transplantation for fulminant hepatic failure.
This paper presents the results of liver transplantation for fulminant hepatic failure in 31 patients qualified as UNOS-1 class (extra-urgent indication for transplantation), operated from January 1989 to April 2005. Twenty-one patients (61.8%) survived the 3-month postoperative period. Three-year survival rate with good liver graft function was 52.9% (18 patients). Before the transplantation, eight patients (23.5%) underwent hepatic dialysis using Fractionated Plasma Separation and Adsorption (FPSA) with the use of a Prometheus 4008H System. Liver transplantation remains the only life-saving procedure for the treatment of fulminant liver failure, regardless of its cause.
Nyckowski
P
P
Department of General, Transplant and Liver Surgery, Warsaw Medical University, ul. Banacha 1a, 02-097 Warsaw, Poland.
Skwarek
A
A
Zieniewicz
K
K
Patkowski
W
W
Alsharabi
A
A
Wróblewski
T
T
Remiszewski
P
P
Smoter
P
P
Kotulski
M
M
Korba
M
M
Paczkowska
A
A
Giercuszkiewicz
D
D
Sańko-Resmer
J
J
Paczek
L
L
Krawczyk
M
M
D000328:Adult; D006801:Humans; D017114:Liver Failure, Acute / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods* / Q000401:mortality; D008875:Middle Aged; D016019:Survival Analysis; D014850:Waiting Lists