title: Analysis of 83 consecutive liver transplants performed at a tertiary care reference hospital in the interior of the state of Sao Paulo.
abstract: To analyze pre-, intra- and immediate postoperative parameters of patients submitted to liver transplantation.
  
  
  
  Eighty-three consecutive orthotopic liver transplants performed from January 2009 to July 2011 were analyzed. The patients were divided into 2 groups: A, survivors (MELD between 9 and 60) and B, non-survivors (MELD between 14 and 40), with 30.6% of group A patients being CHILD C, 51℅ CHILD B and 18,4℅ CHILD A. In group B, 32.1℅ of the patients were CHILD C, 42,9℅ CHILD B, and 25℅ CHILD A. All orthotopic liver transplantations were performed using the piggyback technique without a portacaval shunt. Systemic arterial pressure and serum ALT and AST levels were determined preoperatively and 5, 60 and 1440 minutes after arterial graft revascularization. Serum ALT and AST profiles were evaluated for seven days after surgery.
  
  
  
  Systemic arterial blood pressure levels, time of hot and hypothermic ischemia and time of graft implant were statistically similar for the two groups (p>0.05). Serum levels (U/L) of ALT and AST at the 5, 60 and 1440 minute time points after arterial revascularization of the graft were also similar for the two groups studied, as also were the serum ALT and AST profiles.
  
  
  
  No statistically significant difference in any of the parameters studied was detected between the two groups. Under the conditions of the present study and on the basis of the parameters evaluated, no direct relation was detected between the intraoperative period and the type of patient outcome in the two groups studied.
authors: Digestive Surgery Division, Department of Surgery and Anatomy, FMRP, USP, Ribeirao Preto, SP, Brazil.
authors: Ana Carolina
authors: AC
authors: Lombardi
authors: Enio David
authors: ED
authors: Mente
authors: Ajith Kumar
authors: AK
authors: Sankarankutty
authors: Fernanda Fernandes
authors: FF
authors: Souza
authors: Andreza Corrêa
authors: AC
authors: Teixeira
authors: Daniel
authors: D
authors: Cagnolati
authors: Maria Eliza Jordani de
authors: ME
authors: Souza
authors: Orlando de Castro e
authors: Ode C
authors: Silva
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000410:Alanine Transaminase / Q000097:blood*; D001219:Aspartate Aminotransferases / Q000097:blood*; D015415:Biomarkers / Q000097:blood; D001794:Blood Pressure; D001938:Brazil; D002648:Child; D058625:End Stage Liver Disease / Q000201:enzymology / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000401:mortality / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D059035:Perioperative Period; D012189:Retrospective Studies; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D015415:Biomarkers; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase