Articles tagged "Surgical complications"

2018 American Transplant Congress
Daptomycin Minimum Inhibitory Concentration (MIC) of Vancomycin Resistant Enterococcal (VRE) Blood Isolates Correlates with Allograft Failure in Orthotopic Liver Transplant (OLT) Recipients
R. Lee,¹ G. Haidar,² J. Lewis,³ S. Arif,⁴ J. Hand,⁵ E. Holaday,⁶ H. Clauss,⁶ J. Goldman,⁷ A. Nellore.¹
¹University of Alabama at Birmingham, Birmingham, AL; ²University of Pittsburgh Medical Center, Birmingham, AL; ³University of Virginia, Charlottesville, VA; ⁴Duke University, Durham, NC; ⁵Oschner Medical Center, New Orleans, LA; ⁶Department of Internal Medicine, Temple University, Philadelphia, PA; ⁷Temple University, Philadelphia, PA; ⁸Swedish Medical Center, Seattle, WA.
Background: Enterococci are one of the leading causes of nosocomial infection in after OLT. Unfortunately, treatment options for enterococci that are resistant to first-line agents…
2018 American Transplant Congress
The Initial Hepatic Artery Reperfusion versus Initial Portal Reperfusion in Liver Transplantation: Where Do We Stand?
R. Shahbazov,¹ F. Azari,³ J. Alejo,² M. Talanian,² M. Fox,² K. Kennedy,² S. Kessel,² A. Nickkholgh,¹ D. Maluf,¹ S. Pelletier.¹
¹Surgery, University of Virginia Health System, Charlottesville, VA; ²School of Medicine, University of Virginia Health System, Charlottesville, VA; ³Surgery, University of Pennsylvania Medical Center, Philadelphia, PA.
Introduction: While initial portal vein reperfusion (PVRP) of a liver allograft is nearly standardized, limited data suggests initial hepatic arterial reperfusion (HARP) may improve hemodynamics…
2018 American Transplant Congress
Does Pre-Operative Angiographic Kidney Embolization Decrease Complications in Allograft Nephrectomy?
D. Harriman, V. Mujumdar, A. Farney, J. Rogers, G. Orlando, A. Reeves-Daniel, R. Stratta.
Surgery, Medicine, Wake Forest Baptist Health, Winston-Salem, NC.
Introduction: Morbidity associated with allograft nephrectomy (AN) for treatment of failed or diseased kidney transplants is well documented. Pre-operative angiographic kidney embolization (PAKE), which induces…
2018 American Transplant Congress
Liver Transplantation in Patients with Spontaneous Spleno-Renal Shunt
M. Gastaca,¹ M. Bruno,² P. Ruiz,¹ A. Ventoso,¹ I. Palomares,¹ M. Prieto,¹ A. Valdivieso.¹
¹Hepatobiliary Surgery and Liver Transplant Unit, Cruces University Hospital, Bilbao, Spain; ²Clínica Universitaria Princesa Fabiola, Cordoba, Argentina.
Aim: Our aim was to describe the outcomes of liver transplantation (LT) in patients with spontaneous spleno-renal shunt (SSRS) and to define the adequate portal…
2018 American Transplant Congress
Water-Jet Dissection for Donor Hepatectomy during Living Donor Liver Transplantation
K. Gotoh,¹ H. Eguchi,¹ Y. Iwagami,¹ D. Yamada,¹ T. Asaoka,¹ T. Noda,¹ K. Kawamoto,¹ S. Kobayashi,¹ K. Umeshita,² Y. Doki,¹ M. Mori.¹
¹Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; ²Health Science, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Background The most important issue in living donor liver transplantation (LDLT) is donor safety. Although donor hepatectomy has evolved technically over the years, it is…
2018 American Transplant Congress
Transplant Hepatectomy with Portacaval Shunt and Molecular Adsorbent Recirculating System (MARS) Therapy for Perioperative Catastrophe
A. Cimeno, S. Sultan, J. Alvarez-Casas, S. Hanish, D. Bruno, W. Hutson, D. Stein, T. Scalea, R. Barth, J. LaMattina.
University of Maryland School of Medicine, Baltimore, MD.
Background: Increased worldwide focus on maximal donor utilization and transplantation of patients once considered too ill to survive liver transplantation may increase the otherwise rare…
2018 American Transplant Congress
Liver Transplantation Post Gastric Bypass: Surgical Complications and Outcomes
A. Vijay, A. Nigam, R. Girlanda, A. Kroemer, J. Hawksworth, C. Matsumoto, T. Fishbein.
Transplant Surgery, Medstar Georgetown Transplant Institute, Washington, DC.
Introduction: Liver transplantation in patients with prior gastric bypass poses a unique challenge and may increase the risk of complications.Aim: To characterize surgical complications in…
2018 American Transplant Congress
Early Biliary Complications after Orthotopic Liver Transplantation – Non-Randomised Comparison of 3 Methods of Biliary Tract Drainage
A. Jóźwik,¹ M. Kosieradzki,¹ B. Łągiewska,¹ W. Lisik,¹ E. Karpeta,¹ J. Bednarek,² M. Zaborska,² J. Trzebicki,³ M. Pacholczyk.¹
¹Department of General and Transplantation Surgery, Medical University of Warsaw, Warsaw, Poland; ²Medical University of Warsaw, Warsaw, Poland; ³I Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Warsaw, Poland.
BackgroundBiliary tract complications (BTC) are still relatively common and complex problem following orthotopic liver transplantation (OLT). The aim of this nonrandomized study was to evaluate…
2018 American Transplant Congress
Technical Aspects of Orthotopic Liver Transplantation – A Survey-Based Study within the Eurotransplant, Swisstransplant, Scandiatransplant and British Transplantation Society Networks
Z. Czigany,¹ J. Bednarsch,¹ J. Böcker,¹ F. Meister,¹ I. Amygdalos,¹ W. Schöning,¹ T. Ulmer,¹ X. Rogiers,² P. Dutkowski,³ P-.D. Line,⁴ M. Malagó,⁵ U. Neumann,¹ G. Lurje.¹
¹Department of Surgery and Transplantation, University Hospital RWTH, Aachen, Germany; ²Department of Solid Organ Transplantation, University Hospital Gent, Gent, Belgium; ³Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland; ⁴Department of Solid Organ Transplantation, University Hospital Oslo, Oslo, Norway; ⁵Department of Hepatobiliary Surgery and Transplantation, University College London, London, United Kingdom.
Background: Surgical aspects of ortoptopic liver transplantation (OLT) are widely based on low-level evidence as well as on local institutional protocols. Aim of this study…
2018 American Transplant Congress
Does Biliary Duct Reconstruction Technique Impact Liver Transplantation Outcomes?
R. Shahbazov,¹ M. Kessel,² K. Knapp,² F. Azari,² S. Tsutsui,³ A. Nickkholgh,¹ D. Maluf,¹ S. Pelletier.¹
¹Surgery, University of Virginia Health System, Charlottesville, VA; ²School of Medicine, University of Virginia Health System, Charlottesville, VA; ³Surgery, University of Pennsylvania, Philadelphia, PA.
Introduction: The rate of biliary complication after liver transplantation remains high. The choice of biliary reconstruction technique may depend on the patient's primary disease, possible…