title: [Clinical analysis on multivisceral transplantation].
abstract: OBJECTIVE
  To assess the indication, surgical and post-operative complications of the multivisceral transplantation.
  
  
  METHODS
  The post-transplant complications of 8 patients who underwent multivisceral transplantation between May 2004 and May 2010 were analyzed. There were 7 male and 1 female, aged from 28 to 65 years. Five patients who suffered from non-resectable advanced upper abdominal malignancy experienced the liver, stomach, spleen, pancreas, duodenum, omentum and variable amounts of the colon resection, and then underwent standard multivisceral transplantation (included liver, stomach, pancreaticoduodenal and small bowel). After underwent hepatectomy while retaining the native pancreas and entire gastrointestinal, three recipients with end-stage liver cirrhosis and type 2 insulin-dependent diabetes mellitus (IDDM) was performed combined en bloc liver/pancreaticoduodenal transplantation.
  
  
  RESULTS
  Since the third day post-operation, all recipients no longer needed exogenous insulin and had normal blood glucose concentrations. Two weeks after transplantation, their liver function almost became normal. For the 5 recipients who suffered abdominal malignancy, the longest survival period was 326 days. Cause of death are recurrent tumor (n = 2), multiple organ failure (n = 3). All the 5 patients experienced infection. For 3 patients suffered cirrhosis and IDDM, the longest survival was over 18 month. Excepting the case 8 died of graft versus host disease, all were still living without apparently post-transplant complication.
  
  
  CONCLUSIONS
  Multivisceral transplantation is an alternative in the treatment of the patients with benign massive abdominal pathologies. Careful patient selection and technical modification are crucial to improve the outcome of these patients.
authors.affiliation: Organ Transplant Center of the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Dong-Ping
authors.initials: DP
authors.lastname: Wang
authors.forename: Jue
authors.initials: J
authors.lastname: Tang
authors.forename: Xiao-Shun
authors.initials: XS
authors.lastname: He
authors.forename: Xiao-Feng
authors.initials: XF
authors.lastname: Zhu
authors.forename: Wei-Qiang
authors.initials: WQ
authors.lastname: Ju
authors.forename: Lin-Wei
authors.initials: LW
authors.lastname: Wu
authors.forename: Yi
authors.initials: Y
authors.lastname: Ma
authors.forename: Guo-Dong
authors.initials: GD
authors.lastname: Wang
authors.forename: An-Bin
authors.initials: AB
authors.lastname: Hu
authors.forename: Qiang
authors.initials: Q
authors.lastname: Tai
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000368:Aged; D004386:Duodenum / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation; D016035:Pancreas Transplantation; D012189:Retrospective Studies