[Liver retransplantation: report of 80 cases].
OBJECTIVE
To sum up the clinical experience of liver retransplantation.


METHODS
The clinical data of patients receiving liver retransplantation in our department between Jan. 1999 and July 2005 were retrospectively analyzed, the cause of retransplantation, timing of retransplantation, technical considerations and the causes of death.


RESULTS
The most common causes of hepatic graft loss and subsequent retransplantation are biliary complications (45.0%). Patients who received retransplantation more than 30 days after their initial transplant fared better than those who received retransplants between 8 and 30 days after receiving their first one (intraoperative mortality rates 19.6% versus 70.0%). The development of sepsis (54.5%) and multiorgan failure (18.2%) accounts for the majority of deaths in retransplanted patients.


CONCLUSIONS
Proper indication and optimum operation time, surgical procedure, perioperative monitoring and proper treatment post operation contribute to the increase of the survival rate of the patients receiving liver retransplantation.
Shen
Zhong-yang
ZY
Transplant Center, Tianjing First Central Hospital, Tianjin 300192, China.
Zhu
Zhi-jun
ZJ
Deng
Yong-lin
YL
Zheng
Hong
H
Pan
Cheng
C
Zhang
Ya-min
YM
Shi
Rui
R
Jiang
Wen-tao
WT
Zhang
Jian-jun
JJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000209:etiology / Q000601:surgery*; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors