Liver transplantation: a 10-year single center experience in Pernambuco- northeastern Brazil

• Main Author: Miranda, Luiz Eduardo C.
• Publication Date: 2010
• Other Authors: Melo, Paulo Sérgio Vieira de, Lima, Diego Laurentino, Sabat, Bernardo, Amorim, Américo Gusmão, Lucena Neto, Olival Cirilo, Lopes, Helry Cândido, Lemos, Roberto, Leitão , Laécio, Lacerda, Cláudio Moura
• Format: Article
• Language: eng
• Source: Brazilian Journal of Transplantation
• Download full: https://bjt.emnuvens.com.br/revista/article/view/227
• topic: Transplante; Sobrevivência; Fígado; Transplantation; Survivorship; Liver

Purpose: The aim of this study is to analyze a ten-year single center experience in liver transplantation in Pernambuco - Northeastern region of Brazil. Methods: Data were retrospectively collected from medical records of 302 patients who underwent Orthotopic Liver Transplantation (OLT) between 1998 and 2008 at Oswaldo Cruz University Hospital, Pernambuco – Brazil. We analyzed just the outcomes and survival curve of 195 adult liver transplantation recipients from deceased donor. Results: Data concern liver donor, surgery technical aspects and liver transplantation recipients’ postoperative evolution are presented and discussed. This center has a significant experience in liver transplantation using conventional technique with no venovenous bypass. Efficient management of liver transplantation practice has made it feasible to keep the cold ischemia time within 6-7 hours. Because of the organ shortage, we have used a large amount of extended criteria liver donor. The survival 1-year rata was 76.4%. Conclusion: It is possible to provide a high-quality public medical assistance in an efficient and continuous manner in less developed areas of Brazil.