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Surgical injuries of postmortem donor livers: Incidence and impact on outcome after adult liver transplantation by Danielle M. Nijkamp; Maarten J.H. Slooff; Christian S. van der Hilst; Alexander J.C. IJtsma; Koert P. de Jong; Paul M.J.G. Peeters; Robert J. Porte is a Medicine article available to read on EtoBox.

What is Surgical injuries of postmortem donor livers: Incidence and impact on outcome after adult liver transplantation about?

The exact frequency and clinical consequences of surgical hepatic injuries during organ procurement are unknown. We analyzed the incidence, risk factors, and clinical outcome of surgical injuries in 241 adult liver grafts. Hepatic injuries were categorized as parenchymal, vascular, or biliary. Outcome variables were bleeding complications, hepatic artery thrombosis (HAT), and graft survival. In 82 livers (34%), 96 injuries were detected. Most injuries were minor, but clinically relevant injuries were detected in 6.6% (16/241) of the livers. Fifty (21%) liver grafts had some degree of parenchymal or capsular injury, 40 (17%) had vascular injury, and 6 (2%) had an injury to the bile duct. Procurement region was the only risk factor significantly associated with surgical injury. The rate of hepatic artery injury was significantly higher in livers with aberrant arterial anatomy. Bleeding complications were found in 18% of patients who received livers with a parenchymal or capsular injury in contrast to 9% without parenchymal injury (P = 0.065). HAT was found in 23% of the patients who received a liver with arterial injury compared to 4% without arterial injury (P = 0.001). Overall graf

Who reads Surgical injuries of postmortem donor livers: Incidence and impact on outcome after adult liver transplantation?

Author

Danielle M. Nijkamp; Maarten J.H. Slooff; Christian S. van der Hilst; Alexander J.C. IJtsma; Koert P. de Jong; Paul M.J.G. Peeters; Robert J. Porte

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2006

Language

EN

Field

Medicine (Health Sciences)