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来自印度的第一批活体捐赠者肝脏再移植:挑战和结果

Shaleen Agarwal¹, Rajesh Dey², Sanjiv Saigal¹

¹Centre for Liver and Biliary Sciences, Max Superspeciality Hospital, Saket, Delhi, India.

Journal of clinical and experimental hepatology

|February 3, 2025

概括

这项研究报告印度印度.

科学领域:

肝病学肝病学是一种肝病学.
移植手术移植手术
胃肠病学胃肠病学

背景情况:

关于活体供体肝移植 (LDLT) 和再移植 (re-LT) 的长期结果,印度数据有限.
这项研究介绍了来自印度的第一系列肝脏再移植,详细说明,挑战和结果.

研究的目的:

分析肝脏再移植患者的生存结果和术后并发症.
为了确定早期与晚期肝脏再移植的指示.

主要方法:

对29名肝脏再移植患者的回顾性分析.
患者被分为早期 (<30天) 和晚期 (>30天) 重移植组.
结果是根据生存率和并发症来评估的.

主要成果:

肝脏再移植在29名患者中进行 (0.81%的肝脏移植),主要是在LDLT (93%) 之后进行的.
早期的再移植指示包括肝动脉血栓症 (53%) 和移植功能障碍 (47%);晚期的指示是胆道并发症 (50%) 和慢性排斥 (33%).
30天死亡率为27%,格兰阴性败血症是主要原因;晚期再移植组的死亡率 (16.6%) 比早期组 (35%) 低.

结论:

肝脏再移植,特别是使用活体捐赠者,对于精心挑选的患者来说是一个可行的选择.
了解指示和时间对于改善再移植结果至关重要.

关键词:

慢性拒绝慢性拒绝肝动脉血栓形成肝动脉血栓形成肝脏再移植肝脏再移植活着的捐赠者移植移植

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