Orthotopic liver transplantation with no veno-venous bypass.
- Author:
Shusen ZHENG
1
;
Dongsheng HUANG
;
Jian WU
;
Weilin WANG
;
Yan SHEN
;
Min ZHANG
;
Qingyun SHEN
;
Anwei LU
;
Peifen FU
;
Xiao XU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Creatinine; blood; Feasibility Studies; Female; Hepatic Veins; surgery; Humans; Liver Diseases; blood; surgery; therapy; Liver Transplantation; methods; Male; Middle Aged; Outcome Assessment (Health Care); Vascular Surgical Procedures
- From: Chinese Journal of Surgery 2002;40(5):326-328
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the feasibility and outcome of orthotopic liver transplantation (OLT) with no veno-venous bypass (VVB) in adult patients.
METHODSBetween 1999 and June 2001, 43 adult patients were subjected to orthotopic liver transplantations with veno-venous bypass (28), or no veno-venous bypass (15).
RESULTSThere was no significant difference in mean serum creatinine on day 3 and gas discharge time in patients with veno-venous bypass or not. With no veno-venous bypass, the average operative time was 5.6 +/- 1.4 h, median amount of blood loss during operation was 4 200 +/- 850 ml, median amount of blood transfused intraoperatively was 4 800 +/- 920 ml, and median intensive care unit stay was 6.3 days. All these were lower or shorter than those of the patients with veno-venous bypass.
CONCLUSIONSOrthotopic liver transplantation with no veno-venous bypass is safe and can be performed in the majority of adult patients. Liver transplantation with no veno-venous bypass is associated with shorter total operating time, lower blood product usage, and shorter intensive care unit stay compared with standard technique of OLT with routine use of VVB.
