Effect of Splenectomy in Prognosis of Human Liver Transplantation
- VernacularTitle:脾切除对肝移植预后影响的回顾性探讨
- Author:
Qi-Fa YE
;
Xing-Guo SHE
;
Ying-Zi MING
;
Ke CHENG
;
Ying MA
;
Ying NIU
;
Zu-Hai REN
;
Bin LIU
;
Yu-Jun ZHAO
;
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Splenectomy;
Acute rejection;
Sepsis
- From:
Chinese Journal of Bases and Clinics in General Surgery
2003;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect and indication of splenectomy in liver transplantation.Methods From January 2001 to April 2006,260 patients underwent piggyback orthotopic liver transplantation(PBOLT),and 28 patients had undergone combined PBOLT and splenectomy(splenectomy group).These patients were compared to 56 randomly selected non-splenectomy patients from the same transplant period,meaningly two controls were se- lected for every non-spleneetomy case.Two groups were analyzed with respect to rate of infection and survival rate, as well as biopsy-proven acute allograft rejection within 30 days after transplantation.Results Rate of infection in the splenectomy group was higher than that in the non-splenectomy patients(85.7% vs 55.4%,P
