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Updated: Aug 11, 2026
12:27
Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
Published on: May 7, 2015
[Patients' subjective experiences after liver transplantation]
M Langenbach1, D Stippel, K T E Beckurts
1Klinik und Poliklinik für Psychosomatik und Psychotherapie, Universitätsklinikum Köln. michael.langenbach@medizin.uni-koeln.de
Zentralblatt Fur Chirurgie
|November 25, 2003
Summary
Liver transplant recipients often experience mental health issues and develop diverse coping strategies. Understanding these subjective experiences is crucial for effective clinical management post-transplant.
Area of Science:
- Transplantation Medicine
- Psychiatry
- Qualitative Research
Background:
- Liver transplantation (LTx) is a life-saving procedure for end-stage liver disease.
- Patients undergoing LTx face significant physical and psychological challenges in the first year post-surgery.
Purpose of the Study:
- To prospectively investigate the subjective experiences and clinical status of patients within the first year after liver transplantation.
- To identify common themes and coping mechanisms employed by liver transplant recipients.
Main Methods:
- Prospective cohort study involving 16 consecutive liver transplant patients.
- Narrative interviews conducted 4-12 months post-LTx, analyzed using Grounded Theory and ideal type analysis.
Main Results:
- 56.25% of patients exhibited mental disorders (ICD-10 criteria).
- Subjective experiences were categorized into five ideal types: successful, grateful, help-seeking, vulnerable, and special patient.
- These ideal types represented a dimensional pattern, with patients exhibiting varying degrees of each.
Conclusions:
- Patients generally perceive liver transplantation as a successful treatment for terminal liver disease.
- Diverse coping strategies are utilized to manage the transplantation's impact, each with associated clinical risk profiles.
- Awareness of these patient-perceived coping strategies is essential for optimal clinical care of liver transplant recipients.
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