Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8826306 | Cirugía Española | 2018 | 8 Pages |
Abstract
Between 1991 and 2013, 1,000 liver transplantations were performed at Virgen del Rocio Hospital (Seville, Spain). A retrospective study was conducted, analyzing the characteristics of recipients and donors, indications, surgical technique, complications and survival in 2 different stages (1991-2002 vs. 2003-2013) coinciding with the implementation of the MELD scale as a prioritization model. The most frequent indication were of hepatopathy of hepatocellular origin in 48.8%. There was a significant increase in the indications for hepatocarcinoma (8.6% and 24.1% PÂ =Â 0.03), and the rate of retransplantation (5.9% vs 9.6%, PÂ =Â 0.04). There was a change in the age of donation, going from 27.7 years in 1990 to 62.9 years in 2012 (PÂ =Â 0.001). The percentage of patients who did not require blood transfusion doubled (6.16 vs. 14.31%, PÂ =Â .001). Survival of all patients after one, 5 and 10 years was 77, 63.5 and 51.3%, respectively.
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Authors
José Tinoco González, Jose MarÃa Álamo MartÃnez, Carmen Bernal Bellido, Gonzalo Suárez Artacho, Luis Miguel MarÃn Gómez, Lydia Barrera-Pulido, Javier Padillo RuÃz, Miguel Ángel Gómez Bravo,