Settmacher, Utz and Goetz, Max and Rahmel, Axel and Baerthel, Erik and Schlitt, Hans and Puhl, Gero and Broering, Dieter and Lehner, Frank and Fischer, Lutz and Paul, Andreas and Schmidt, Jan and Nadalin, Silvio and Obed, Aiman and Heise, Michael (2011) Living donor liver transplantation in adults in the MELD era in Germany - a multi-center retrospective analysis. TRANSPLANT INTERNATIONAL, 24 (9). pp. 904-911. ISSN 0934-0874,
Full text not available from this repository. (Request a copy)Abstract
The aim of this analysis was to provide an update on the current trend in living donor liver transplantation (LDLT) for adult recipients in the model of end stage liver disease (MELD) era in Germany and to encourage a wider implementation of LDLT. We descriptively analysed the data of LDLTs in Germany from 15 December 2006 to 31 December 2009 using a multi-center retrospective analysis via a questionnaire and data provided by Eurotransplant. Ten German centers performed LDLTs in adults. Eighty four transplantations in 50 male recipients and 34 female recipients were performed during the review period, ranging from 1 to 16 LDLTs per center. Hepatocellular carcinoma in cirrhosis (15/84) was the most common transplantation indication. The recipient mean lab-MELD score was 15 (+/- 8). Six re-transplantations were necessary after initial LDLTs. The 1-year patient survival was 81%. We obtained data of 79/84 donors. The incidence of complications was 30.4% (n = 24). There were no grade 5 complications according to the Clavien classification. LDLT is an established treatment option that may reduce the waiting time, provides high quality split liver grafts and should be advocated in the MELD era to reduce organ shortage and 'death on the waiting list'.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SINGLE-CENTER; EXPERIENCE; RECIPIENTS; COHORT; GRAFT; MORBIDITY; OUTCOMES; FAILURE; PATIENT; adult; Germany; living donor liver transplantation; model of end stage liver disease; multi-center; retrospective |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Jun 2020 08:08 |
| Last Modified: | 02 Jun 2020 08:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20373 |
Actions (login required)
 |
View Item |
