Venovenous bypass in 54 liver transplantations.
- Author:
Feng-xue ZHU
1
;
Ji-ye ZHU
;
Guang-ming LI
;
Yan-nan LIU
;
Jie GAO
;
Xi-sheng LENG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Female; Hemodynamics; Humans; Kidney; physiopathology; Liver Transplantation; methods; Male; Middle Aged; Portal Vein; surgery; Postoperative Complications; etiology
- From: Chinese Journal of Surgery 2003;41(1):10-12
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVESTo summarize hemodynamic and metabolic changes during bypass, and to evaluate the bypass in liver transplantation.
METHODSFifty-four patients underwent orthotopic liver transplantation with venovenous bypass from May 2000 to May 2002. Their clinical features were analysed.
RESULTSSHR, MAP, CVP, CO, PaO(2), PaCO(2), serum K(+), Na(+), Ca(2+), BUN values were not significantly changed during bypass. Compared to the pre-bypass stage, pH was decreased in the post-bypass stage (P < 0.05), serum lactic acid value was increased in the bypass and post-bypass stage (P < 0.05), active clotting time was increased in the bypass stage (P < 0.05), serum creatinine value was increased on first postoperative day (P < 0.05).
CONCLUSIONSVenovenous bypass could improve hemodynamic and metabolic stability in the anhepatic phase, but it also could increase operation duration, liver ischemic time and cost.
