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Liver transplantations in Bulgaria--initial experience

Vladov, N ; Mihaylov, V ; Takorov, I ; Vasilevski, I ; Lukanova, T ; Odisseeva, E ; Katzarov, K ; Simonova, M ; Tomova, D ; Konakchieva, M ; Petrov, N ; Mladenov, N ; Sergeev, S ; Mutafchiiski, V

Khirurgiia, 2014 (3), p.4

Bulgaria

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Título:
Liver transplantations in Bulgaria--initial experience
Autor: Vladov, N ; Mihaylov, V ; Takorov, I ; Vasilevski, I ; Lukanova, T ; Odisseeva, E ; Katzarov, K ; Simonova, M ; Tomova, D ; Konakchieva, M ; Petrov, N ; Mladenov, N ; Sergeev, S ; Mutafchiiski, V
Assuntos: Adolescent ; Adult ; Aged ; Bulgaria - epidemiology ; Cohort Studies ; Female ; Humans ; Liver Transplantation - adverse effects ; Liver Transplantation - methods ; Liver Transplantation - mortality ; Living Donors ; Male ; Middle Aged ; Postoperative Complications - epidemiology ; Preoperative Period ; Survival Analysis ; Vena Cava, Inferior - surgery ; Young Adult
É parte de: Khirurgiia, 2014 (3), p.4
Descrição: The filed of liver transplantation (LT) continues to evolve and is highly effective therapy for many patients with acute and chronic liver failure resulting from a variety of causes. Improvement of perioperative care, surgical technique and immunosuppression in recent years has led to its transformation into a safe and routine procedure with steadily improving results. The aim of this paper is to present the initial experience of the transplant team at Military Medical Academy - Sofia, Bulgaria. For the period of April 2007 - August 2014 the team performed 38 liver transplants in 37 patients (one retransplantation). Patients were followed up prospectively and retrospectively. In 36 (95%) patients a graft from a cadaveric donor was used and in two cases--a right liver grafts from live donor. The mean MELD score of the transplanted patients was 17 (9-40). The preferred surgical technique was "piggyback" with preservation of inferior vena cava in 33 (86%) of the cases and classical technique in 3 (8%) patients. The overall complication rate was 48%. Early mortality rate was 13% (5 patients). The overall 1- and 5-year survival is 81% and 77% respectivelly. The setting of a new LT program is a complex process which requires the effort and effective colaboration of a wide range of speciacialists (hepatologists, surgeons, anesthesiologists, psychologists, therapists, coordinators, etc.) and institutions. The good results are function of a proper selection of the donors and the recipients. Living donation is an alternative in the shortage of cadaveric donors.
Editor: Bulgaria
Idioma: Búlgaro

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Liver transplantations in Bulgaria--initial experience

Vladov, N ; Mihaylov, V ; Takorov, I ; Vasilevski, I ; Lukanova, T ; Odisseeva, E ; Katzarov, K ; Simonova, M ; Tomova, D ; Konakchieva, M ; Petrov, N ; Mladenov, N ; Sergeev, S ; Mutafchiiski, V

Bulgaria

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