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Journal of Zhejiang University SCIENCE A 2002 Vol.3 No.4 P.480-483

http://doi.org/10.1631/jzus.2002.0480


Evaluation of orthotopic liver transplantation with no veno-venous bypass


Author(s):  HUANG Dong-sheng, ZHENG Shu-sen, WU Jian, LIANG Ting-bo, WANG Wei-ling, SHEN Yan, ZHANG Min

Affiliation(s):  Department of Hepatobiliary Surgery, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding email(s):   dshuang@mail.hz.zj.cn

Key Words:  Liver transplantation, Orthotopic, Veno-venous bypass


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HUANG Dong-sheng, ZHENG Shu-sen, WU Jian, LIANG Ting-bo, WANG Wei-ling, SHEN Yan, ZHANG Min. Evaluation of orthotopic liver transplantation with no veno-venous bypass[J]. Journal of Zhejiang University Science A, 2002, 3(4): 480-483.

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author="HUANG Dong-sheng, ZHENG Shu-sen, WU Jian, LIANG Ting-bo, WANG Wei-ling, SHEN Yan, ZHANG Min",
journal="Journal of Zhejiang University Science A",
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pages="480-483",
year="2002",
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%A WU Jian
%A LIANG Ting-bo
%A WANG Wei-ling
%A SHEN Yan
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T1 - Evaluation of orthotopic liver transplantation with no veno-venous bypass
A1 - HUANG Dong-sheng
A1 - ZHENG Shu-sen
A1 - WU Jian
A1 - LIANG Ting-bo
A1 - WANG Wei-ling
A1 - SHEN Yan
A1 - ZHANG Min
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PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.2002.0480


Abstract: 
Objective: To assess the feasibility and outcome of orthotopic liver transplantation (OLT) with no veno-venous bypass (v-v bypass) in adult patients. Methods: Between 1999 and 2001, 43 adult patients underwent OLT with v-v bypass, 33 with no v-v bypass. The operation time, anhepatic time, amount of blood loss, amount of blood transfusion, ICU stay days of the two groups were compared; renal function and gastrointestinal function in the two groups were examined. Results: There was no significant difference in mean serum creatinine on day 3 and gas discharge time in patients with v-v bypass or not. With no v-v bypass, the average operation time was 5.7±1.3 hours, anhepatic time was 64±13 minutes, median amount of blood loss in operation was 4000±820 mL, median amount of blood trans fused intraoperatively was 4650±910 mL, median ICU stay was 5.7 days; all those were lower or shorter than those with v-v bypass; and these differences between the two groups had statistical significances. Conclusion: OLT with no v-v bypass is safe and can be performed in the majority of adult patients. The practice of liver transplantation with no v-v bypass is associated with shorter total operation time, shorter anhepatic time, lower blood product usage, and shorter ICU stay compared with standard technique of OLT with routine use of v-v bypass.

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Reference

[1] Chari, R.S., Gan, T.J., Robertson, K.M., et al., 1998. Venovenous bypass in adult orthotopic liver transplantation: routine or selective use? J. Am. Coll. Surg., 186: 683-690.

[2] Grande, L., Rimola, A., Cugat, E., et al., 1996. Effect of venovenous bypass on perioperative renal function in liver transplantation: results of a randomized, controlled trial. Hepatology, 23: 1418-1428.

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[6] Rossi, G.,Langer, M., Maggi, U.,et al., 1998. Veno-venous bypass versus no bypass in orthotopic liver transplantation: hemodynamic, metabolic, and renal data. Transplant. Proc., 30: 1871-1873.

[7] Wall, W.J., Grant, D.R., Duff, J.H., et al., 1987. Liver transplantation without venous bypass. Transplantation, 43:56-61.

[8] Zheng, S.S.,Liang, T.B., Huang, D.S., et al., 2001. The early experience of or thotopic liver transplantation (33 case report). Chinese Journal of Practical Surgery, 21:48-50 (in Chinese).

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