title: What is the prognosis after retransplantation of the liver?
abstract: In patients with failing liver grafts, hepatic retransplantation cannot be abandoned for the ethical and practical reasons that have been detailed previously. The current recommendations involve a strategy for risk stratification of retransplant candidates. The long-term patient and graft survival outcomes after ReLT are excellent and acceptable for the low and intermediate groups, respectively. However, pursuing ReLT in transplant candidates in the high-risk category cannot be recommended. Furthermore, ReLT should be reserved for centers equipped to manage the difficulties of the endeavor because it is a technically demanding operation that requires surgical expertise and excellent anesthesiology and critical care support both before and after transplantation.
authors.affiliation: Division of Liver and Pancreas Transplantation, Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, 650 C. E. Young Drive South, 77-120 CHS, Box 957054, Los Angeles, CA 90095, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Zarrinpar
authors.forename: Johnny C
authors.initials: JC
authors.lastname: Hong
mesh_terms: D006084:Graft Rejection / Q000601:surgery; D006498:Hepatectomy; D006801:Humans; D017093:Liver Failure / Q000209:etiology / Q000601:surgery*; D016031:Liver Transplantation / Q000401:mortality; D018579:Patient Selection; D011379:Prognosis; D012086:Reoperation; D017211:Treatment Failure; D014850:Waiting Lists