[Experience in liver transplantation (1996-2011) at the UMAE, General Hospital Gaudencio González Garza, National Medical Center La Raza, Mexican Institute of Social Security, Mexico City, D.F].
We present the experience of General Hospital CMN La Raza from 1996 to 2011. In this period, we have made 40 liver transplants in adults and 22 pediatric liver transplants. A 100% of adult population received a graft from deceased donor; while in the pediatric age group, 60% were from deceased donor and 40% from living donor. The long-term follow-up is shown only for adult group due to lack of data in the pediatric group. The mean age for the adult group is 42 years old and 4.5 years for the pediatric group. The main indications for liver transplantation in adults were: cirrhosis due to chronic hepatitis C in 47.5% and cirrhosis due to alcohol abuse in 15% of the group. In the pediatric group was more likely the biliary atresia (60%) as an indication for liver transplantation followed by fulminant hepatitis (15%). We show the evolution of the hepatectomy's technique in the adult group: it was initially using conventional technique and later it changed to preservation of cava vein (Piggy Back). In the same way, the reconstruction of the bile-duct was initially made using a T-tube stenting and currently, we use end to end bile-duct reconstruction. The patient's survival at 1, 5, and 10 years was 41.5, 27.2, and 13.6%, respectively; with a median of global survival of 6.2 months. Long-term patient's survival has improved after 2004 compared to previous period.
Servicio de Trasplantes, UMAE, Hospital General, Centro Medico Nacional La Raza, DF México. marianoh@prodigy.net.mx
José Mariano
JM
Hernández-Domínguez
Alberto
A
Holm-Corzo
Marlene
M
Santos-Caballero
Miguel Angel
MA
Porras-Ramos
Pedro
P
Gómez-Casanova
Lorenzo
L
Pérez-Molina
César
C
Villaseñor-Colín
Vérulo
V
Muñiz-Toledo
Héctor
H
López-Sánchez
Hector
H
Hernández-Becerril
Alfonso
A
Espinosa-González
Oscar
O
Martínez-Jiménez
Mario
M
Torres-Amaya
Dulce
D
D'ector-Lira
Marino
M
Medina-Ramírez
Giovanni
G
Sanabria-Trujillo
Gloria
G
Villafuerte-Muñoz
Verenice
V
Alanís-Jacobo
Gustavo
G
Rocha-Avila
Jaime
J
Zaldívar-Cervera
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006769:Hospitals, General; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects / Q000706:statistics & numerical data*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D055815:Young Adult