06 June 2023 : Original article
Results of Liver Retransplantation After Rescue Hepatectomy: A Single-Center Study
Erika Laine
1ABCDEF*, Hanna Al Sabeah1BF, Marie Tranäng1BE, Antonio Romano 1ABE, Greg Nowak 1ADEFG
DOI: 10.12659/AOT.939557
Ann Transplant 2023; 28:e939557
Table 1 Patients who underwent RH.
| Patient | Sex, age | Primary diagnosis | Reason for RH | Uncontrollable bleeding | Severe circulatory instability |
|---|---|---|---|---|---|
| 1 | M 64 y | Ethyl cirrhosis | IVC and caval anastomosis bleeding | Yes | Yes |
| 2 | F 8 m | Biliary atresia | HAT + PVT (US and intraoperative findings) | Yes | Yes |
| 3 | M 56 y | Ethyl cirrhosis | IVC bleeding and outflow obstruction | Yes | Yes |
| 4 | M 52 y | HBV cirrhosis | IVC bleeding and outflow obstruction | Yes | Yes |
| 5 | F 7 m | Biliary atresia | HAT + PVT (US and angio-CT) | No | Yes |
| 6 | F 9 y | Adams-Olivers syndrome | HAT + PVT (US and intraoperative findings) | Yes | Yes |
| 7 | F 67 y | PBC | PNF | No | Yes |
| 8 | M 3 y | Biliary atresia | HAT + PVT (intraoperative findings) | No | Yes |
| 1 | 3 | 16 | Yes | Alive after 15 years of follow-up | |
| 2 | 40 | 60 | No | Death due to graft failure POD69 | |
| 3 | 4 | 41 | Yes | No graft available, death on the reLT WL | |
| 4 | 3 | 25 | Yes | Alive after 8 years of follow-up | |
| 5 | 136 | 99 | No | Alive after 7 years of follow-up | |
| 6 | 24 | 14 | No | Death due to pneumonia POD12 | |
| 7 | 12 | 97 | No | Death due to urosepsis POD200 | |
| 8 | 5 | 36 | Yes | Alive after 3 years of follow-up | |
| RH – rescue hepatectomy; fLT – first live transplantation; h – hour(s); AHT – anhepatic time; MARS – Molecular Adsorbent Recirculation System; M – male; F – female; y – year(s); m – months(s); IVC – inferior vena cava; HAT – hepatic artery thrombosis; PVT – portal vein thrombosis; US – liver ultrasound; POD – postoperative day; reLT – liver retransplantation; WL – waiting list; PNF – primary non-function; CT – computer tomography. | |||||