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  • Abbassi, FaribaUniv Hosp Zurich, Dept Surg & Transplantat, Zurich, Switzerland. (författare)

Novel Benchmark Values for Redo Liver Transplantation Does the Outcome Justify the Effort?

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • Lippincott Williams & Wilkins,2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-487670
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-487670URI
  • https://doi.org/10.1097/SLA.0000000000005634DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:150935981URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective: To define benchmark cutoffs for redo liver transplantation (redo-LT). Background: In the era of organ shortage, redo-LT is frequently discussed in terms of expected poor outcome and wasteful resources. However, there is a lack of benchmark data to reliably evaluate outcomes after redo-LT. Methods: We collected data on redo-LT between January 2010 and December 2018 from 22 high-volume transplant centers. Benchmark cases were defined as recipients with model of end stage liver disease (MELD) score <= 25, absence of portal vein thrombosis, no mechanical ventilation at the time of surgery, receiving a graft from a donor after brain death. Also, high-urgent priority and early redo-LT including those for primary nonfunction (PNF) or hepatic artery thrombosis were excluded. Benchmark cutoffs were derived from the 75th percentile of the medians of all benchmark centers. Results: Of 1110 redo-LT, 373 (34%) cases qualified as benchmark cases. Among these cases, the rate of postoperative complications until discharge was 76%, and increased up to 87% at 1-year, respectively. One-year overall survival rate was excellent with 90%. Benchmark cutoffs included Comprehensive Complication Index CCI (R) at 1-year of <= 72, and in-hospital and 1-year mortality rates of <= 13% and <= 15%, respectively. In contrast, patients who received a redo-LT for PNF showed worse outcomes with some values dramatically outside the redoLT benchmarks. Conclusion: This study shows that redo-LT achieves good outcome when looking at benchmark scenarios. However, this figure changes in high-risk redo-LT, as for example in PNF. This analysis objectifies for the first-time results and efforts for redo-LT and can serve as a basis for discussion about the use of scarce resources.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Gero, DanielUniv Hosp Zurich, Dept Surg & Transplantat, Zurich, Switzerland. (författare)
  • Muller, XavierCroix Rousse Hosp, Dept Gen Abdominal & Transplant Surg, Lyon, France. (författare)
  • Bueno, AlbaKings Coll Hosp London, Inst Liver Studies, London, England. (författare)
  • Figiel, WojciechMed Univ Warsaw, Dept Gen Transplant & Liver Surg, Warsaw, Poland. (författare)
  • Robin, FabienUniv Hosp Rennes, Dept HPB Surg & Transplantat, Rennes, France. (författare)
  • Laroche, SophieHop Paul Brousse, Hepatobiliary Ctr, Dept Surg & Transplantat, Villejuif, France. (författare)
  • Picard, BenjaminHop Beaujon, APHP Nord, DMU PARABOL, Dept Anesthesiol Crit Care & Perioperat Med, Clichy, Nord, France. (författare)
  • Shankar, SadhanaLeeds Teaching Hosp trust, Dept Abdominal Transplant & Hepatobiliary Surg, Leeds, W Yorkshire, England. (författare)
  • Ivanics, TommyUppsala universitet,Gastrointestinalkirurgi,Univ Toronto, Univ Hlth Network, Multiorgan Transplant Program, Toronto, ON, Canada.;Henry Ford Hosp, Dept Surg, Detroit, MI USA.(Swepub:uu)tomiv601 (författare)
  • van Reeven, MarjoleinUniv Med Ctr Rotterdam, Erasmus MC Transplant Inst, Dept Surg, Div HPB & Transplant Surg, Rotterdam, Netherlands. (författare)
  • van Leeuwen, Otto B.Univ Groningen, Univ Med Ctr Groningen, Div HPB Surg & Liver Transplantat, Groningen, Netherlands. (författare)
  • Braun, Hillary J.Univ Calif San Francisco, Div Transplant Surg, San Francisco, CA USA. (författare)
  • Monbaliu, DiethardUniv Hosp Leuven, Dept Abdominal Transplant Surg & Transplant Coord, Leuven, Belgium. (författare)
  • Breton, AntoineCroix Rousse Hosp, Dept Gen Abdominal & Transplant Surg, Lyon, France. (författare)
  • Vachharajani, NeetaWashington Univ, St Louis Sch Med, Div Abdominal Transplantat, Dept Surg, St Louis, MO USA. (författare)
  • Bonaccorsi Riani, ElianoUniv Hosp St Luc, Dept Abdominal & Transplant Surg, Brussels, Belgium. (författare)
  • Nowak, GregKarolinska Univ, Hosp Huddinge, Dept Transplantat Surg, Stockholm, Sweden. (författare)
  • McMillan, Robert R.Houston Methodist Hosp, Weill Cornell Med Ctr, Houston, TX USA. (författare)
  • Abu-Gazala, SamirHosp Univ Penn, Penn Transplant Inst, Dept Surg, Philadelphia, PA USA. (författare)
  • Nair, AmitUniv Rochester, Div Transplantat & Hepatobiliary Surg, Rochester, MN USA. (författare)
  • Bruballa, RocioHosp Italiano Buenos Aires, HPB & Liver Transplant Unit, Buenos Aires, Argentina. (författare)
  • Paterno, FlavioUniv Hosp, Rutgers New Jersey Med Sch, Div Liver Transplant, Newark, NJ USA. (författare)
  • Weppler Sears, DeborahCleveland Clin Florida, Dept Abdominal & Transplant Surg, Weston, FL USA. (författare)
  • Pinna, Antonio D.Cleveland Clin Florida, Dept Abdominal & Transplant Surg, Weston, FL USA. (författare)
  • Guarrera, James V.Univ Hosp, Rutgers New Jersey Med Sch, Div Liver Transplant, Newark, NJ USA. (författare)
  • de Santibanes, EduardoHosp Italiano Buenos Aires, HPB & Liver Transplant Unit, Buenos Aires, Argentina. (författare)
  • de Santibanes, MartinHosp Italiano Buenos Aires, HPB & Liver Transplant Unit, Buenos Aires, Argentina. (författare)
  • Hernandez-Alejandro, RobertoUniv Rochester, Div Transplantat & Hepatobiliary Surg, Rochester, MN USA. (författare)
  • Olthoff, KimHosp Univ Penn, Penn Transplant Inst, Dept Surg, Philadelphia, PA USA. (författare)
  • Ghobrial, R. MarkHouston Methodist Hosp, Weill Cornell Med Ctr, Houston, TX USA. (författare)
  • Ericzon, Bo-GoranKarolinska Institutet (författare)
  • Ciccarelli, OlgaUniv Hosp St Luc, Dept Abdominal & Transplant Surg, Brussels, Belgium. (författare)
  • Chapman, William C.Washington Univ, St Louis Sch Med, Div Abdominal Transplantat, Dept Surg, St Louis, MO USA. (författare)
  • Mabrut, Jean-YvesCroix Rousse Hosp, Dept Gen Abdominal & Transplant Surg, Lyon, France. (författare)
  • Pirenne, JacquesUniv Hosp Leuven, Dept Abdominal Transplant Surg & Transplant Coord, Leuven, Belgium. (författare)
  • Mullhaupt, BeatUniv Hosp Zurich, Dept Gastroenterol & Hepatol, Zurich, Switzerland. (författare)
  • Ascher, Nancy L.Univ Calif San Francisco, Div Transplant Surg, San Francisco, CA USA. (författare)
  • Porte, Robert J.Univ Groningen, Univ Med Ctr Groningen, Div HPB Surg & Liver Transplantat, Groningen, Netherlands. (författare)
  • de Meijer, Vincent E.Univ Groningen, Univ Med Ctr Groningen, Div HPB Surg & Liver Transplantat, Groningen, Netherlands. (författare)
  • Polak, Wojciech G.Univ Med Ctr Rotterdam, Erasmus MC Transplant Inst, Dept Surg, Div HPB & Transplant Surg, Rotterdam, Netherlands. (författare)
  • Sapisochin, GonzaloUniv Toronto, Univ Hlth Network, Multiorgan Transplant Program, Toronto, ON, Canada. (författare)
  • Attia, MagdyLeeds Teaching Hosp trust, Dept Abdominal Transplant & Hepatobiliary Surg, Leeds, W Yorkshire, England. (författare)
  • Soubrane, OlivierHop Beaujon, APHP Nord, DMU DIGEST, Dept HPB Surg & Liver Transplantat, Clichy, France. (författare)
  • Weiss, EmmanuelHop Beaujon, APHP Nord, DMU PARABOL, Dept Anesthesiol Crit Care & Perioperat Med, Clichy, Nord, France. (författare)
  • Adam, Rene A.Hop Paul Brousse, Hepatobiliary Ctr, Dept Surg & Transplantat, Villejuif, France. (författare)
  • Cherqui, DanielHop Paul Brousse, Hepatobiliary Ctr, Dept Surg & Transplantat, Villejuif, France. (författare)
  • Boudjema, KarimUniv Hosp Rennes, Dept HPB Surg & Transplantat, Rennes, France. (författare)
  • Zieniewicz, KrzysztofMed Univ Warsaw, Dept Gen Transplant & Liver Surg, Warsaw, Poland. (författare)
  • Jassem, WayelKings Coll Hosp London, Inst Liver Studies, London, England. (författare)
  • Dutkowski, PhilippUniv Hosp Zurich, Dept Surg & Transplantat, Zurich, Switzerland. (författare)
  • Clavien, Pierre-AlainUniv Hosp Zurich, Dept Surg & Transplantat, Zurich, Switzerland. (författare)
  • Univ Hosp Zurich, Dept Surg & Transplantat, Zurich, Switzerland.Croix Rousse Hosp, Dept Gen Abdominal & Transplant Surg, Lyon, France. (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Annals of Surgery: Lippincott Williams & Wilkins276:5, s. 860-8670003-49321528-1140

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