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2021, Number 2

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Rev Mex Traspl 2021; 10 (2)

Perioperative report of a series of cases in liver transplant patients in a Third-Level Hospital

Santibáñez-Velázquez M, Medina-García G, Olguín-Sánchez E, Meza-Jiménez G, Castillo-Barradas M

Language: Spanish
References: 25
Page: 58-63
PDF size: 241.86 Kb.


ABSTRACT

The world's first liver transplant (LT) was performed in 1963 by the physician Thomas Earl Starzl and his team. In 1976 the first LT was performed in Mexico. The number of LT is low relative to patients who die annually from liver disease worldwide. Objective: To analyze the perioperative conditions of LT receptors and their possible association with complications. Material and methods: Case series in the intensive care unit, analyzing the preoperative conditions of LT subjects and their association with intra and postoperative outcome. Results: In 2019 11 subjects received ortho-topical LT with technique piggyback, six women (54.5%) and five men (45.5%), average age 50 years, with a history of alcohol intake at 9 (81.8%), the leading cause of cirrhosis was hepatitis virus "C" at 5 (45.5%). The CHILD-PUG B score, average of 9 and MELD 18. Platelet lymphocyte index (IP/L) < 10 × 104/μ/L, 6 (54.6%), bleeding 7 (63.8%) p = 0.121, postoperative mortality 2 (18%), p = 0.121. Conclusions: Subjects with IP/L< 10 × 104/μ/L, are more prone to trans- and postoperative bleeding.


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