Système gastro-intestinal et digestif

Abstrait

Evaluation of Results in Liver Transplantation with Ultrafast Technic Harvesting in Non-Heart-Beating Donors (Maastricht II and III): An Analysis of a Large Single-Center Experience

Alejandra Garcia Novoa, Nicolasa Fernandez Soria, Jose Ignacio Rivas Polo, Alejandra Otero Ferreiro, Ignacio Rey Simo, Antón Fernandez García, Javier Aguirrezabalaga Gonzalez, Manuel Gomez Gutiérrez

Objective: To determine the viability of liver graft obtained from NHBD Maastricht II and III and long-term recipients survival. Material and Methods: Retrospective study of LT performed with en bloc technique for abdominal organ harvesting in NHBD in our hospital from December 1995 to January 2015. Results: 25 cases were performed: 17 Maastricht category II and 8 cases category III. Maastricht II. With a mean follow-up of 91.36 months (0,5-211m) one year recipient survival was 82.35% and 70.6% at 5 years. Liver graft survival was 70.6% and 64.7% at one year and five years, respectively. None of deaths during follow-up was secondary to graft failure. 3 patients were retransplanted: 2 were urgently for PAF and one at 3 years for HBV. Maastricht III. With a mean follow up of 14.67 months one year recipient survival was 100% and 88,9% of the graft survival. Two retransplantation were performed: one urgent for "small for size" and another at 18 months because of ischemic cholangitis. Conclusions: Grafts from NHBD allows acceptable results in terms of patient and graft survival.