[Orthotopic liver transplantation in patients over 60 years old].
OBJECTIVE
To investigate the outcome and relative problems of patients over 60 years old underwent orthotopic liver transplantation (OLT).


METHODS
Data of patients over 60 years old (>or= 60 years old group, n = 59) patients recipients who were 18 to 59 years old (< 60 years old group, n = 500) were reviewed retrospectively.


RESULTS
Overall patients survival at 1 year was not significantly different among >or= 60 years old group (66%) and < 60 years group (76%). There were no differences in the operation time, the quantity of blood lost during operation, the days of hospitalization and the incidence of hepatic artery thrombosis between the two groups. The incidence rate of acute rejection reaction in >or= 60 years old group was lower. Both the duration of staying in intensive care unit and the time of using ventilator in >or= 60 years old group were longer than the other group. Moreover, the incidence rates of infection and intracerebral hemorrhage were higher in >or= 60 years old group, which were the primary causes of death in this group.


CONCLUSIONS
Even though the complications were higher, recipients over 60 years old underwent OLT have more excellent 1 year survival.
He
Xiao-Shun
XS
Department of Organ Transplantation, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China. gdtrc@163.com
Zeng
Ji-Xiao
JX
Zhu
Xiao-Feng
XF
Ma
Yi
Y
Wang
Dong-Ping
DP
Ju
Wei-Qiang
WQ
Wu
Lin-Wei
LW
Huang
Jie-Fu
JF
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007902:Length of Stay; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome