Liver transplantation at a university hospital, faculty of the medicine of Ribeirão Preto, University of São Paulo: results for the first 60 recipients.
The purpose of the present article was to present the series operated by a Liver Transplant Group of the interior of the State of Sao Paulo, Brazil. Sixty patients were transplanted from May 2001 to May 2007. Thirty percent of the patients had alcoholic cirrhosis. 18.3% had C virus-induced cirrhosis, 10% had C virus- and alcohol-induced cirrhosis, 6% had B virus-induced cirrhosis, 13.3% had cryptogenic cirrhosis, 8.3% autoimmune cirrhosis, 13.3% had familial amyloidotic polyneuropathy (FAP), and 13.3% had hepatocellular carcinomas. The series was divided by a chronological criterion into two periods: A (n = 42) and B (n = 18) with the latter group operated based upon the Model for End-stage Liver Disease (MELD) criterion. Sixty-nine percent were men. Age ranged from 14 to 66 years. Period A included 12% Child A: 59.2%, Child B; 24%, Child C; and 4.8%, FAP. Period B comprises 22.2% Child A: 11.1%, Child B: 33.3%, Child C: and 33.3%, FAP. MELD scores ranged from 8 to 35 for period A and from 14 to 31 for period B. Intraoperative mortality was 2/42 patients for period A and 0/18 for period B, overall postoperative mortality was 40% including for period A, 35% among Child B and C patients, and 5% among FAP and Child A patients (P < .05) and 16.6% for period B among 11.1% Child B patients and 5.5% FAP patients; 3.3% of patients required retransplantation due to hepatic artery thrombosis. Real postoperative survival was 60% during period A and 83.3% during period B, with an overall survival rate of 67% for the two periods. The present results show levels of postoperative mortality, (especially during period B), and survival rates similar to those reported by several other centers in Brazil.
Castro-E-Silva
O
O
Special Liver Transplantation Unit, Departments of Surgery and Anatomy. Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil. orlando@fmrp.usp.br
Sankarankutty
A K
AK
Teixeira
A C
AC
Mente
E D
ED
Souza
F F
FF
Pacheco
E G
EG
Oliveira
G R
GR
Cagnolatti
D
D
Correia
R B
RB
Campos
W
W
Kemp
R
R
Miranda
A
A
Rondon
L Z
LZ
Rizzo
C
C
Mota
G A
GA
Martinelli
A L C
AL
Ramalho
F S
FS
Ramalho
L N Z
LN
Zucoloto
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil; D006525:Hepatitis, Viral, Human / Q000601:surgery; D006785:Hospitals, University; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery; D008107:Liver Diseases / Q000145:classification / Q000601:surgery; D016031:Liver Transplantation / Q000502:physiology*; D008875:Middle Aged; D012189:Retrospective Studies