EXTENDED PRESERVATION OF THE LIVER WITH UW SOLUTION - IS IT JUSTIFIABLE

Citation
Rta. Padbury et al., EXTENDED PRESERVATION OF THE LIVER WITH UW SOLUTION - IS IT JUSTIFIABLE, Transplantation, 57(10), 1994, pp. 1490-1493
Citations number
22
Categorie Soggetti
Immunology,Surgery
Journal title
ISSN journal
00411337
Volume
57
Issue
10
Year of publication
1994
Pages
1490 - 1493
Database
ISI
SICI code
0041-1337(1994)57:10<1490:EPOTLW>2.0.ZU;2-I
Abstract
The outcome of 228 liver grafts in 208 elective adult recipients was a ssessed to identify any adverse effects of extending the length of col d preservation with UW solution beyond 12 hr. A total of 114 grafts ha d been preserved <12 hr-median 9.5 (group I) and 114 >12 hr-median 14. 5 (group II). Intraoperative blood and blood product usage, graft func tion, hospital stay, and graft and patient survival were identical in the two groups. Biliary strictures occurred in 5.7% of grafts (8 anast omotic (3 group I, 5 group II; 5 hilar/nonanastomotic: 3 group I, 2 gr oup II). There was no graft or patient loss due to the hilar stricture s but 1 patient died following reconstruction of an anastomotic strict ure (0.4%). It is concluded that extending the cold preservation to ap proximately 15 hr does not adversely affect outcome after liver transp lantation.