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- W3032038497 abstract "ObjectiveTo summarize the experience of liver transplantation with donation after citizens death (DCD), and explore the influence of donor selection on the early prognosis of recipients in single center.MethodThe clinical data of 94 cases of donors and recipients from October 2010 to December 2014 were analyzed retrospectively.ResultThe hypernatremia was observed in 26 cases. The levels of blood sodium in 155~160 mmol/L and 160~80 mmol/L were found in 15 cases and 11 cases with the early graft dysfunction rate postoperation being 20.0% and 18.2%, respectively. There was no statistically significant difference as compared with that in normal serum sodium (22.1%; P=0.861, and P=0.772). Steatosis liver was found in 15 donors (mild in 14 cases, and moderate in 1 case) with the rate of early graft dysfunction being 26.7%. There was no statistically significant difference compared to that without steatosis liver after transplantation (20.3%; P=0.832). Six cases of liver transplantations from children to adults were accomplished, and the incidence of the vascular and biliary complications was 16.7% and 16.7%, respectively. There was no statistically significant difference compared with that in adults to adults liver transplantation (4.8% and 19.3%; P=0.301, P=1.000). The rate of early graft dysfunction with cold ischemia time >10 h and ≤10 h was 25.0% and 20.2% respectively (P=0.880). The rate of early graft dysfunction by using dopamine alone and dopamine combined with norepinephrine to maintain blood pressure was 18.3% and 26.7%, respectively, which was not significantly different from that without using drugs after operation (26.3%; P=0.325, P=0.640). The 1- and 3-year survival rate of grafts and patients after operation was 92.2% and 85.7%, respectively.ConclusionThere was no undesirable influence on early prognosis postoperation to prudently extend the standards of DCD in donors with high serum sodium, steatosis liver, children liver to adult recipients, cold ischemia time, etc on the basis of comprehensively evaluating the status of donors and recipients.Key words: Liver transplantation; Hepatic insufficiency; Hyponatremia; Donor Selection" @default.
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- W3032038497 date "2015-06-20" @default.
- W3032038497 modified "2023-09-24" @default.
- W3032038497 title "Clinical analysis of 94 cases of liver transplantation with donation after citizens death in a single center" @default.
- W3032038497 doi "https://doi.org/10.3760/cma.j.issn.0254-1785.2015.06.006" @default.
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