Detailed Abstract
[E-poster]
[EP051] Early Experiences of Liver Transplantation in A Newly Opened Hospital
Cheon-Soo PARK*1, Jung hyun PARK1, Ho Joong CHOI2, Young-Kyoung YOU2, Mi Hyeong KIM1, Ji Young KIM1, Dong Goo KIM1
1Department of Surgery, Eunyeong St. Mary’s hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea., Korea
2Department of Surgery, Seoul St. Mary’s hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, Korea
Introduction : Since the first human liver transplantation (LT) performed in 1963, LT has been most effective treatment for end-stage liver diseases and for selected patients with hepatic neoplasms. Herein we will report early experience of liver Transplantation in a newly opened hospital on April, 2019.
Methods : We have been operated eight LT from June, 2019 to December, 2019. In clinical features of recipients, mean age was 50.5 ± 7.7 (years), six male and two female, the causes of LT were one autoimmune liver cirrhosis (LC), three alcoholic LC and four HBV-LC with HCC. MELD score (mean) was 16.9 ± 13.2, GRWR(%) was 1.07 ± 0.22, operative time(mean) was 661 ± 161.9 minutes. Two transplanted graft was extended left lobe, five grafts were modified right graft and one was cadaveric donor whole liver graft. All bile duct reconstruction was conducted by duct to duct anastomosis. Mean post-operative hospital day was 25.6 ± 9.8 (days), and there was some morbidity.
Results : In features of seven living donors, mean age was 29.7± 11.3 (years), six male and one female, post-operative hospital day was 15.3 ± 5.6 (days), and there was two minor bile leakage but no mortality
Conclusions : A multidisciplinary approach with surgical, anesthetic, radiologic and medical departments, and wide range of administrative supports, which can be provided with institutional and foundational support, is crucial. We thought that the multidisciplinary teamwork including thorough preparation for LT is most important for which first started the liver transplant in a newly opened hospital.
Methods : We have been operated eight LT from June, 2019 to December, 2019. In clinical features of recipients, mean age was 50.5 ± 7.7 (years), six male and two female, the causes of LT were one autoimmune liver cirrhosis (LC), three alcoholic LC and four HBV-LC with HCC. MELD score (mean) was 16.9 ± 13.2, GRWR(%) was 1.07 ± 0.22, operative time(mean) was 661 ± 161.9 minutes. Two transplanted graft was extended left lobe, five grafts were modified right graft and one was cadaveric donor whole liver graft. All bile duct reconstruction was conducted by duct to duct anastomosis. Mean post-operative hospital day was 25.6 ± 9.8 (days), and there was some morbidity.
Results : In features of seven living donors, mean age was 29.7± 11.3 (years), six male and one female, post-operative hospital day was 15.3 ± 5.6 (days), and there was two minor bile leakage but no mortality
Conclusions : A multidisciplinary approach with surgical, anesthetic, radiologic and medical departments, and wide range of administrative supports, which can be provided with institutional and foundational support, is crucial. We thought that the multidisciplinary teamwork including thorough preparation for LT is most important for which first started the liver transplant in a newly opened hospital.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY