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Results of liver transplantation at the Cuban Center for Medical and Surgical Research.
González-Rapado, L; Abdo, A; Hernández, H; Cepero, M; Samada, M; Ramos, L; Ysla, R; Gómez, F; Delgado, D; Melián, K; González, C; Pérez, J; Bernardos, A.
Afiliação
  • González-Rapado L; Medical-Surgical Research Center, Havana City, Cuba.
Transplant Proc ; 40(9): 2983-4, 2008 Nov.
Article em En | MEDLINE | ID: mdl-19010167
From July 4, 1999, when a liver transplantation program was started in Cuba, to December 30, 2007, we performed 125 procedures in 115 patients. The most frequent reasons for transplantation were cirrhosis caused by hepatitis C virus (29%) and alcoholic cirrhosis (17.2%). Two patients received simultaneous liver-kidney transplants. Sixty-seven patients were males, and the patient ages ranged from 12 to 74 years. The average surgical time was 6 hours, and cold ischemia time was 4 to 14 hours. The average blood consumption was 1630 mL; 2900 mL of plasma and 8 units of platelets were used in 7 cases. Immunosuppression was mainly cyclosporine, mycophenolate mofetil, and prednisone. Acute cellular rejections were treated in almost all cases with 3 doses of methylprednisolone. The most frequent complications were biliary (15%), hepatic arterial thrombosis (6%), postsurgical bleeding (8%), acute cellular rejection (20%), and ductopenic rejection (2%). The overall 1-year survival was 74.7%.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Fígado Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Caribe / Cuba Idioma: En Revista: Transplant Proc Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Cuba País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Fígado Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Caribe / Cuba Idioma: En Revista: Transplant Proc Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Cuba País de publicação: Estados Unidos