First 100 Liver Transplants at the Medico-Surgical Research Center (CIMEQ)

In July 1999 we began a liver transplant program that to October 2005 has included 100 liver transplants in 92 patients, eight retransplants, and two combined liver and kidney grafts. Twelve transplants were in pediatric patients, who showed a 92% survival rate in the first year. Fifty-four percent...

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Bibliographic Details
Published inTransplantation proceedings Vol. 38; no. 8; pp. 2473 - 2474
Main Authors González, I., Abdo, A.A., López, O., Hernández, J.C., Samada, M., Cepero, M., Ramos, L., Ysla, R., Madrigal, G., Collera, S.A., Dominguez, J., Diaz, J., Benitez, P.P., Castellanos, R.
Format Journal Article Conference Proceeding
LanguageEnglish
Published New York, NY Elsevier Inc 01.10.2006
Elsevier Science
Subjects
Biological and medical sciences
Cuba
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Kidney Transplantation - statistics & numerical data
Liver Diseases - classification
Liver Diseases - surgery
Liver Transplantation - statistics & numerical data
Medical sciences
Reoperation
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
Vena Cava, Inferior - surgery
Cuba
Medicine
Treatment
Digestive system
Surgery
Liver
Research center
Graft
Transplantation
Homotransplantation
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Summary:In July 1999 we began a liver transplant program that to October 2005 has included 100 liver transplants in 92 patients, eight retransplants, and two combined liver and kidney grafts. Twelve transplants were in pediatric patients, who showed a 92% survival rate in the first year. Fifty-four percent of the patients were male and 46% female. The most frequent etiologies of cirrhosis were 27% hepatitis virus C, 18% alcoholic, 13% cryptogenic, and 11% autoimmune. In 95% of the patients, we preserved the retrohepatic vena cava. The bile duct was reconstructed with a Kehr tube in 46% of patients with 31% using end-to-end suture with a tutor and 15% an end-to-end suture without a tutor. A hepaticojejunostomy was performed in 8%. The immunosuppression included cyclosporine (Neoral) or Prograf combined with mycophenolate mofetil or mycophenolate sodium and steroids. The most frequent biliary complications were local anastomosis leaks (6%) and stenosis (10%). The overall 1-year survival rate was 72%.
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ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2006.08.088