title: [Selection of four surgical techniques in orthotopic liver transplantation].
abstract: OBJECTIVE
  To compare the advantages and disadvantages of four surgical techniques in orthotopic liver transplantation.
  
  
  METHODS
  A total of 135 adult recipients receiving cadaveric whole liver grafts were divided into four groups according to the surgeries they received: group A (n=22) underwent classic orthotopic liver transplantation, group B (n=79) underwent modified piggyback liver transplantation, group C (n=18) underwent classical piggyback liver transplantation, and group D (n=16) underwent modified classic orthotopic liver transplantation. The clinical data of these recipients were retrospectively analyzed.
  
  
  RESULTS
  The operation time, anhepatic time, and intra-operation bleeding volume among these four groups were significantly different (P < 0.05). The incidence of transient renal damage in group C was significantly lower than that in other groups (P < 0.05), while the complication rates and survival rates were not significantly different in the early stage after the operation.
  
  
  CONCLUSIONS
  Surgery techniques should be carefully selected based on the individual patients's pre-operative condition. The modified classic orthotopic liver transplantation is a preferred technique for tumor patients or patients with surgical history of upper abdomen.
authors.affiliation: Organ Transplantation Center, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China. gdtrc@163.com
authors.forename: Xiao-shun
authors.initials: XS
authors.lastname: He
authors.forename: Lin-wei
authors.initials: LW
authors.lastname: Wu
authors.forename: Wei-qiang
authors.initials: WQ
authors.lastname: Ju
authors.forename: Qiang
authors.initials: Q
authors.lastname: Tai
authors.forename: Ming
authors.initials: M
authors.lastname: Han
authors.forename: Dong-ping
authors.initials: DP
authors.lastname: Wang
authors.forename: Xiao-feng
authors.initials: XF
authors.lastname: Zhu
authors.forename: Jie-fu
authors.initials: JF
authors.lastname: Huang
mesh_terms: D000328:Adult; D006801:Humans; D008107:Liver Diseases / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies