'No touch' donor hepatectomy, oxygenated 'extracellular' preservation fluids, and arterialization of the portal vein for liver transplantation

A. G.R. Sheil, J. F. Thompson, M. S. Stephen, J. C. Graham, A. A. Eyers, M. Bookallil, M. Kalpokas, G. W. McCaughan, S. F.A. Dorney, J. F. Huang, D. Mears, G. E. Kelly, K. Woodman

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Perioperative mortality for liver transplantation remains in the 6% to 30% range, the major causes of death being hepatic failure, hemorrhage, and operative/technical factors. We report here methods that we believe reduce these perioperative dangers. We conclude that the methods detailed here offer effective avoidance of serious organ damage during donor hepatectomy or preservation. They result in reduced allograft ischemic interval, reduced recipient anhepatic time, and avoidance of blood loss together with minimal hemodynamic, biochemical, or acid-base changes at the time of revascularization. In addition they allow the surgeon to perform and test all anastomoses individually without time constraints and to deal with unexpected complications while good early graft function is assured.

Original languageEnglish
Pages (from-to)939-941
Number of pages3
JournalTransplantation Proceedings
Volume20
Issue number1 SUPPL. 1
Publication statusPublished - 1988
Externally publishedYes

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