title: Liver Retransplantation: How Much Is Too Much?
abstract: Hepatic retransplantation has been surgically challenging since the beginning of liver transplant. Outcomes have improved over time, but patient survival with retransplant continues to be significantly worse than that of primary transplant. Many studies have focused on factors to predict outcomes. Models have been developed to help predict risk, but the decision for retransplant must be a multidisciplinary transplant team decision. The question of "when is too much?" can be guided by recipient and donor factors but is an ethical decision that must be made by the liver transplant team.
authors.affiliation: Department of Abdominal Transplantation and Hepatobiliary Surgery, University of California, San Diego, La Jolla, CA 92037, USA. Electronic address: jberumen@ucsd.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Berumen
authors.affiliation: Department of Abdominal Transplantation and Hepatobiliary Surgery, University of California, San Diego, La Jolla, CA 92037, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Hemming
mesh_terms: D014943:Global Health; D006084:Graft Rejection / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D016031:Liver Transplantation; D012086:Reoperation / Q000639:trends; D012307:Risk Factors; D014019:Tissue Donors
keywords: Hepatic retransplantation; Hepatitis C; Model for End-Stage Liver Disease; Primary transplant; Retransplant models