Analysis of postoperative complications after autologous liver transplantation in hepatic alveolar echinococcosis patients from plateau area

VernacularTitle:高原肝泡状棘球蚴病自体肝移植术后并发症的分析
Author: Chao GAO ¹ ; Chengjie YE ; Yamin GUO ; Gang WU
Author Information

1. 青海大学
Keywords: Plateau; Hepatic alveolar echinococcosis; Autologous liver transplantation; Complication
From: Organ Transplantation 2016;7(6):449-453
CountryChina
Language:Chinese
Abstract: Objective To analyze common postoperative complications after autologous liver transplantation in patients diagnosed with hepatic alveolar echinococcosis (HAE)from plateau area. Methods Clinical data of 6 patients with advanced HAE undergoing ex-situ or partially ex-situ hepatectomy combined with autologous liver transplantation were retrospectively analyzed. Clinical characteristics of postoperative complications were analyzed. Results Postoperative complications mainly included biliary tract complications (n=4),intra-abdominal hemorrhage (n=1 ),infection (n=3). Two cases presented with bile leakage complicated with intra-abdominal infection and died from infectious shock and multiple organ dysfunction syndrome. One patient had intra-abdominal hemorrhage and died from hemorrhagic shock and disseminated inravascular coagulation. Biliary tract complication and intra-abdominal hemorrhage were primary causes of mortality. Conclusions Biliary tract complication,intra-abdominal hemorrhage and infection are the main prognostic factors for HAE patients undergoing autologous liver transplantation.