title: Comparison of two different techniques of reperfusion in adult orthotopic liver transplantation.
abstract: The aim of this study was to determine the impact of two reperfusion techniques on the peri-operative hemodynamic changes and early post-operative graft function of adult patients undergoing orthotopic liver transplantation.
  
  
  METHODS
  From June 2003 to May 2004, 50 consecutive liver transplants were performed and divided into two groups: group A, 25 patients, portal vein flush with 500 cm(3) of Ringer's lactate without vena caval venting. Group B, 25 patients, vena caval venting with no portal vein flush. Donor and recipient characteristics were similar in both groups. Sixty-four different parameters were analyzed, and Pearson's chi(2) test and t-test were used for statistical analysis, p<or=0.05.
  
  
  RESULTS
  One patient (4%) in group B experienced a post-reperfusion syndrome (PRS). Pearson's chi(2) test found a significant relationship between the analyzed parameters and the two different reperfusion techniques for 10 parameters (t-test analysis showed a significant difference between the two groups in favor of group A).
  
  
  CONCLUSIONS
  In our transplant center, portal vein flush without vena caval venting provided a lower incidence of hemodynamic changes in the peri-operative period after liver transplantation and earlier recovery of the graft function.
authors.affiliation: Department of Abdominal Transplantation, Institute Mediterraneo per i Trapianti e Terapie ad Alta Specializzasione, Univeristy of Pittsburgh Medical Center European Medical Division, Palermo, Italy. sgruttadauria@ismett.edu
authors.forename: Salvatore
authors.initials: S
authors.lastname: Gruttadauria
authors.forename: Davide
authors.initials: D
authors.lastname: Cintorino
authors.forename: Alfredo
authors.initials: A
authors.lastname: Musumeci
authors.forename: Antonio
authors.initials: A
authors.lastname: Arcadipane
authors.forename: Gaetano
authors.initials: G
authors.lastname: Burgio
authors.forename: Sergio
authors.initials: S
authors.lastname: Clarizia
authors.forename: Tommaso
authors.initials: T
authors.lastname: Piazza
authors.forename: Marco
authors.initials: M
authors.lastname: Spada
authors.forename: Roberto
authors.initials: R
authors.lastname: Verzaro
authors.forename: James W
authors.initials: JW
authors.lastname: Marsh
authors.forename: Amadeo
authors.initials: A
authors.lastname: Marcos
authors.forename: Bruno
authors.initials: B
authors.lastname: Gridelli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D015424:Reperfusion / Q000379:methods*; D014019:Tissue Donors; D014682:Vena Cava, Inferior