Orthotopic Liver Transplantation in Istanbul Medical Faculty of Istanbul University: First 10 Cases
Dr. AliURAS1, Dr. Ortıan ARIOĞUL1, Dr. Ali EMRE1, Dr. Aydın ALPER1, Dr. Koray ACARLI1, Dr. Ornan BİLGE1 Dr. Süleyrnan YALÇIN2, Dr. Atilla ÖKTEN2, Dr. Yılmaz ÇAKALOĞLU2, Dr. Lütfü TELCİ3, Dr. Tuğrul DENKEL3, Dr Figen ESEN3
1İstanbul Üniversitesi Tıp Fakültesi, Genel Cerrahi ABD Karaciğer Safra Yolları Cerrahisi Birimi/İSTANBUL
2İstanbul Üniversitesi Tıp Fakültesi, İç Hastalıkları ABD Gastroentero-Hepatoloji Bilim Dalı/İSTANBUL
3İstanbul Üniversitesi Tıp Fakültesi, Anestezioloji Anabilim Dalı/İSTANBUL
Abstract
Starting on 31.5.1991, 10 patients ranging in age from 14 years to 62 years (median=38.6 years), underwent orthotopic liver transplantation in Istanbul Medical Faculty of Istanbul University. 3 of them were female and 7 were male. Indication of the liver transplantation was liver cirrhosis due to HBV +SV in three, HBV in two, HCV in two patients, and primary biliary cirrhosis in one, criptojenic cirrhosis in one and hepatocelluler carcinoma in 1 patient.
Standard veno-venous by-pass was used in 8 patients, and single by-pass in one. In one patient no by-pass was necessary. A total of 196 U's blood (min.6 U's; max.60 U's) and 190 U's fresh frozen plasma (min. 5 U's; max. 56 U's) were used. There was no operative death. 4 patients died in perioperative period (first 30 days). 1 patient died at 166. day due to a neurological complication. 5 patients returned to their active lives with totally normal liver functions.