Related Experiment Video
Updated: Jul 2, 2026

Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
Published on: August 17, 2022
[Indications and optimal terms of liver transplantation in chronic diffuse hepatic disease]
Insights
Liver transplantation is crucial for patients with chronic diffuse hepatic disease and hepatic cirrhosis. Early intervention, especially for inborn metabolism disturbances, improves patient outcomes and quality of life.
Area of Science:
- Hepatology
- Transplant Surgery
Context:
- Chronic diffuse hepatic disease (CDHD) significantly impacts adult morbidity.
- Hepatic cirrhosis (HC) presents a major treatment challenge.
- Liver transplantation is a key treatment for end-stage liver disease.
Purpose:
- To highlight the importance of liver transplantation in managing hepatic cirrhosis and other severe liver conditions.
- To emphasize the trend towards early transplantation before major organ decompensation.
Summary:
- Orthotopic liver transplantation (OTH) is indicated for various etiologies including hepatic cirrhosis, cholestatic diseases, inborn metabolism disturbances, and hepatic tumors.
- For inborn metabolism disturbances, OTH is performed concurrently with diagnosis.
- The urgency for OTH in hepatic cirrhosis is determined by disease stage (Child-Pugh, MELD scores), treatment response, and hospitalization frequency.
Impact:
- Liver transplantation significantly prolongs patient survival.
- The procedure substantially enhances the quality of life for patients with severe liver disease.
Abstract:
Patients with chronic diffuse hepatic disease (CDHD) take a great part in structure of morbidity of adult population. Problem of treatment of patients with hepatic cirrhosis (HC) is still very important. Main contingent of these patients who need hepar transplantation consists from HC patients with various ethiology, cholestatic diseases, inborn metabolism disturbances and hepatic tumors. At present in the world there is a tendency to early performing of operation while decompensation of other organs and systems still do not exist. When there is diagnosis of inborn metabolism disturbance indication to ortotopic transplantation of hepar (OTH) are put at the same time with verification of diagnosis. In case of HC urgency of OTH depends on stage of disease (system assessment of severity of hepatic insufficiency by 'hild-Pugh, MELD), response of patients on therapy and frequency of hospitalizing. Performance of OTH makes possible to prolongate of patients' life and significantly improve its quality.
Related Concept Videos
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
Cirrhosis I: Introduction
Diseases of the Liver and Gallbladder
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Kidney Transplant I: Introduction
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...