Results of Liver Retransplantation After Rescue Hepatectomy: A Single-Center Study

06 June 2023 : Original article

Erika Laine

^1ABCDEF*, Hanna Al Sabeah^1BF, Marie Tranäng^1BE, Antonio Romano

^1ABE, Greg Nowak

^1ADEFG

DOI: 10.12659/AOT.939557

Ann Transplant 2023; 28:e939557

Table 2 Characteristics of patients who were listed for acute reLT with and without RH.

	Listed for acute reLT with RH (n=8)	Listed for acute reLT without RH (n=18)	P-value

Gender (female/male)	4/4	8/10	0.563

Age (years)	31.7 (0.6–67.2)	50.5 (0.5–64.8)	0.892

Paediatric (%)	50	22.2	0.169

Primary diagnosis
Biliary atresia	3	1
HCC	0	2
Cholestatic disease	1	6
Metabolic disease	0	1
Viral hepatitis	1	5
Ethyl cirrhosis	1	0
Acute liver failure	0	3
Other	1	1

MELD fLT	15.5 (8–40)	16.8 (7–40)	0.878

Weight fLT	44.2 (6.6–125.0)	74.3 (7.5–128.5)	0.196

Split or reduced graft fLT (%)	37.5	22.2	0.361

Operation time fLT (min)	560 (382–927)	469 (185–755)	0.062

Total ischemia time fLT (min)	492 (201–970)	596 (379–765)	0.177

Perioperative bleeding fLT (l)	3.3 (0.6–72)	5.3 (0.9–30)	0.925

Reason for reLT
PNF	1	9
HAT	0	5
PVT	0	1
HAT + PVT	4	1
Bleeding	3	0
Other	0	2

Death on WL	1	2	0.686

Time on WL for reLT (days)	2 (0–4)	2 (0–14)	0.605

Split or reduced graft reLT (%)	57.1	12.5

Operation time reLT (min)	335 (243–660)	290 (165–695)	0.141

Total ischemia time reLT (min)	430 (183–647)	507 (249–659)	0.400

Perioperative bleeding reLT (l)	2.5 (0.6–20)	2.1 (0.4–60)	0.911
MELD and BMI are only presented for adult recipients. reLT – retransplantation; MELD – model for end-stage liver disease; BMI – body mass index; WL – waiting list; HCC – hepatocellular cancer; PNF – primary non-function;HAT – hepatic artery thrombosis; PVT – portal vein thrombosis.