[Review of 105 cases of orthotopic liver transplantation and the prospect].

ABSTRACT

OBJECTIVE: To summarize the experience with orthotopic liver transplantation (OLT). METHODS: A retrospective analysis of 105 cases of liver transplantation in our hospital was carried out. RESULTS: All the 105 OLT operations were performed successfully and the operation time ranged from 210-350 min (mean 250 min), with anhepatic phase ranging from 35-65 min (mean 53.5 min) and blood transfusion during operation ranging from 0-6600 ml (mean 400 ml). Ninety-five patients recovered smoothly while the rest 10 died, with the success rate of OLT of 90.5%. Postoperative complications included biliary tract complication (12 cases, 11.4%) and abdominal bleeding (6 cases). CONCLUSIONS: Reducing hemorrhage during operation is the most important factor to ensure successful OLT. Thorough hemostasis during operation and sufficient blood supply to the bile duct can significantly reduce postoperative bile duct complications.