The impact of experience of a transplantation center on the outcomes of orthotopic liver transplantation

被引:5
作者
Krawczyk, M [1 ]
Grzelak, I [1 ]
Zieniewicz, K [1 ]
Nyckowski, P [1 ]
Pawlak, J [1 ]
Michalowicz, B [1 ]
Patkowski, W [1 ]
Alsharabi, A [1 ]
Wróblewski, T [1 ]
Paluszkiewicz, R [1 ]
Malkowski, P [1 ]
Hevelke, P [1 ]
Pszenny, C [1 ]
Remiszewski, P [1 ]
Skwarek, A [1 ]
Smoter, P [1 ]
Grodzicki, M [1 ]
Kornasiewicz, O [1 ]
Korba, M [1 ]
Kotulski, M [1 ]
Dudek, K [1 ]
Fraczek, M [1 ]
Najnigier, B [1 ]
Alzayany, M [1 ]
Paczkowska, A [1 ]
Gelo, R [1 ]
Andruszkiewicz, P [1 ]
Sicinski, M [1 ]
Jurek-Gelo, A [1 ]
Swierczewski, J [1 ]
Giercuszkiewicz, D [1 ]
Brudkowska, A [1 ]
Andrzejewska, R [1 ]
Niewinski, G [1 ]
Nowak, R [1 ]
Kosinski, C [1 ]
Korta, T [1 ]
Oldakowska-Jedynak, U [1 ]
Sanko-Resmer, J [1 ]
Pawlowska, M [1 ]
Foroncewicz, B [1 ]
Ziólkowski, J [1 ]
Niewczas, M [1 ]
Mucha, K [1 ]
Senatorski, G [1 ]
Paczek, L [1 ]
Leowska, E [1 ]
Pacho, R [1 ]
Andrzejewska, M [1 ]
Rowinski, O [1 ]
机构
[1] Med Univ Warsaw, Med Fac Warsaw, PL-02007 Warsaw, Poland
关键词
D O I
10.1016/S0041-1345(03)00834-0
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The so-called learning factor has been disregarded for many years in analyzing the causes of surgical complications and post-operative mortality; it is also the case for OLT. In our center until April 2003, 209 OLT were performed in 196 patients. We evaluated the impact of experience of the transplantation team on the outcomes of liver transplantation. Thirty-four patients died (mortality rate, 16%) and I-year survival rate, 64%. Mortality rates varied during different periods of observation due to increasing experience of the transplantation team. The causes of mortality were assessed for a series of 34 patients: it was 75% at the beginning of transplantation procedures while recent deaths have not recently exceeded 10% of cases.
引用
收藏
页码:2268 / 2270
页数:3
相关论文
共 10 条
[1]  
BISMUTH H, 1996, 16 INT C TRANSPL SOC
[2]  
Cavallari A, 2001, HEPATO-GASTROENTEROL, V48, P179
[3]   Long-term outcome of liver retransplantation in children [J].
Deshpande, PR ;
Rela, M ;
Girlanda, R ;
Bowles, MJ ;
Muiesan, P ;
Dhawan, A ;
Mieli-Vergani, G ;
Heaton, ND .
TRANSPLANTATION, 2002, 74 (08) :1124-1130
[4]   Long-term survival after liver transplantation in 4,000 consecutive patients at a single center [J].
Jain, A ;
Reyes, J ;
Kashyap, R ;
Dodson, F ;
Demetris, AJ ;
Ruppert, K ;
Abu-Elmagd, K ;
Marsh, W ;
Madariaga, J ;
Mazariegos, G ;
Geller, D ;
Bonham, CA ;
Gayowski, T ;
Cacciarelli, T ;
Fontes, P ;
Starzl, TE ;
Fung, JJ .
ANNALS OF SURGERY, 2000, 232 (04) :490-498
[5]  
MENDOZA A, 1996, 16 INT C TRANSPL SOC
[6]  
MOLMENTI M, 2000, 18 INT C TRANSPL SOC
[7]   Efficacy of endoscopic and percutaneous treatments for biliary complications after cadaveric and living donor liver transplantation [J].
Park, JS ;
Kim, MH ;
Lee, SK ;
Seo, DW ;
Lee, SS ;
Han, JM ;
Min, YI ;
Hwang, S ;
Park, KM ;
Lee, YJ ;
Lee, SG ;
Sung, KB .
GASTROINTESTINAL ENDOSCOPY, 2003, 57 (01) :78-85
[8]   Biliary tract complications after orthotopic liver transplantation with choledochocholedochostomy anastomosis: endoscopic findings and results of therapy [J].
Rerknimitr, R ;
Sherman, S ;
Fogel, EL ;
Kalayci, C ;
Lumeng, L ;
Chalasani, N ;
Kwo, P ;
Lehman, GA .
GASTROINTESTINAL ENDOSCOPY, 2002, 55 (02) :224-231
[9]   Vascular complications in a series of 300 orthotopic liver transplants [J].
Sánchez-Bueno, F ;
Hernández, Q ;
Ramírez, P ;
Robles, R ;
Acosta, F ;
Rodríguez, JM ;
Parrilla, P .
TRANSPLANTATION PROCEEDINGS, 1999, 31 (06) :2409-2410
[10]  
Zhou GW, 2002, CHINESE MED J-PEKING, V115, P1533