Incidence and XXXX after orthotopic liver transplantation.

@entity1 @entity5 @entity254 @entity409 @entity7502 @entity3851 @entity99 @entity2849
AIM: To investigate the incidence and @entity409 after orthotopic liver transplantation. METHODS: From February 1999 to May 2002, orthotopic liver transplantations (OLT) were performed in 72 @entity1 with @entity3851 with an average age of 40.2 +/- 13.6 years (ranged from 11 to 68 years), 56 were males and 16 females. The preoperative evaluation for the 72 @entity1 was performed using duplex sonography, abdominal CT scan, and angiography of the hepatic artery. All donor grafts were perfused and preserved in University of Wisconsin solution at 4 degrees. OLT was performed with standard techniques with or without a veno-venous bypass. Reconstructions of hepatic artery were performed between the branch patches of gastroduodenal/hepatic or splenic/common hepatic artery confluence of the donors and recipients, and an end-to-end @entity254 between other arterial vessels of the donors and recipients was done. Arterial @entity254 was performed with interrupted 7-0/8-0 monofilament @entity7502 suture under 3.5 x loupe magnification. Diagnosis of the complications of hepatic artery after OLT was based on the clinical presentations, ultrasound findings and arterial angiography. All @entity1 were followed up regularly for duplex ultrasound scan after discharge. RESULTS: The overall incidence of arterial complications in 72 @entity1 after OLTs was 1.4% (1/72). One 3 cm @entity2849 at the side of @entity99 was found by urgent arteriogram due to hemoperitoneum secondary to bile leakage after OLT. Subsequently the @entity2849 was successfully embolized and the blood flow toward the donor liver in hepatic artery remained. The overall postoperative 30-day mortality rate was 8.33%. The one-year survival rate was 83.72% in 50 @entity1 with benign diseases and was 71.43% in 22 @entity1 with @entity5 following OLT. No death associated with complications of hepatic artery occurred. CONCLUSION: Careful preoperative evaluations and intraoperative microsurgical technique for hepatic artery reconstructions are the keys in prevention of @entity409 after OLT.
