Liver transplantation: experience at our center

Area of Science:

• Hepatology
• Transplant Surgery
• Organ Transplantation

Background:

• Liver transplantation is the definitive treatment for end-stage liver disease.
• Shortage of deceased donors necessitates alternative strategies like living donation.
• Living related liver donation is a critical option for urgent and complex cases.

Purpose of the Study:

• To highlight the importance and success of living related liver transplantation.
• To present an innovative technique for biliary reconstruction in liver transplantation.
• To demonstrate improved outcomes with living donor liver grafts.

Main Methods:

• Retrospective analysis of liver transplantations performed at the center.
• Implementation of a novel biliary reconstruction technique: "back-table guide-wire placement and intraoperative transhepatic biliary catheter insertion".
• Focus on living related donors (relatives and spouses).

Main Results:

• Graft and patient survival rates exceeding 90% in the past 3 years.
• Successful transplantation in patients with advanced hepatocellular carcinoma.
• Significant reduction in biliary complications using the innovative reconstruction technique in 44 patients.
• Feasibility of duct-to-duct anastomosis even in small pediatric recipients.

Conclusions:

• Living related liver donation is a safe and effective life-saving alternative.
• The innovative biliary reconstruction technique minimizes complications and expands transplant eligibility.
• Living donor liver transplantation improves outcomes for patients with end-stage liver disease and specific indications like hepatocellular carcinoma.