The effect of gained experience on XXXX and mortality in cadaveric liver transplantation: a single-center experience.

@entity1 @entity455 @entity63 @entity5 @entity260 @entity1578 @entity209 @entity166
AIM: Liver transplantation (OLT) has become the treatment of choice for end-stage @entity1578 , as well as for selected cases of @entity5 and @entity209 . @entity260 and mortality rates are expected to correlate with improvements in the interdisciplinary team approach, the perioperative anesthesiologic and intensive care management, and careful follow-up after transplantation. In this study, we have evaluated the effect of gained experience on @entity260 and mortality in cadaveric OLT performed in our institution. MATERIALS AND METHODS: Data from cadaveric OLT @entity1 (n = 34) since 2003 were retrospectively evaluated. @entity1 were divided into 2 groups: Early (2003-2006; n = 15) and late (2007-2010; n = 19). Age, gender, cold and warm @entity63 times, intraoperative transfusion rates, @entity166 , @entity455 rates, and early and late postoperative mortality rates were compared in the 2 groups. RESULTS: The age and gender distribution was similar among both groups. Mean cold and warm @entity63 times, intraoperative transfusion rates, and operative times were significantly lower in the late period group (P = .004, .012, and 0.008, respectively; CI=%95). T-tube usage was also significantly lower in the late period group (P < .001). There was no significant change for postoperative intensive care period (P = .404), but the overall length of stay in hospital was shorter for the @entity1 in the late period group (P = .019). The nonsurgical early @entity260 rate was lower (P = .001) and early postoperative mortality was nearly significant (P = .06) in @entity1 who comprised the late period group. There was no difference in terms of @entity455 rates and overall survival rates between @entity1 in the early and late groups (P = .664, .264, and .107, respectively). CONCLUSION: Our results indicate that the institutional improvements toward an interdisciplinary team approach in cadaveric OLT correlate with better results in @entity63 and operative times and lower intraoperative transfusion rates and hospital stays. Early @entity260 and mortality rates were found to decline in parallel to the team experience.
