Medical College of Wisconsin
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What is the prognosis after retransplantation of the liver? Adv Surg 2012;46:87-100

Date

08/10/2012

Pubmed ID

22873034

DOI

10.1016/j.yasu.2012.03.005

Scopus ID

2-s2.0-84863438776 (requires institutional sign-in at Scopus site)   29 Citations

Abstract

In patients with failing liver grafts, hepatic retransplantation cannot be abandoned for the ethical and practical reasons that have been detailed previously. The current recommendations involve a strategy for risk stratification of retransplant candidates. The long-term patient and graft survival outcomes after ReLT are excellent and acceptable for the low and intermediate groups, respectively. However, pursuing ReLT in transplant candidates in the high-risk category cannot be recommended. Furthermore, ReLT should be reserved for centers equipped to manage the difficulties of the endeavor because it is a technically demanding operation that requires surgical expertise and excellent anesthesiology and critical care support both before and after transplantation.

Author List

Zarrinpar A, Hong JC



MESH terms used to index this publication - Major topics in bold

Graft Rejection
Hepatectomy
Humans
Liver Failure
Liver Transplantation
Patient Selection
Prognosis
Reoperation
Treatment Failure
Waiting Lists