COMPLICACIONES QUIRÚRGICAS DEL TRASPLANTE HEPÁTICO EN EL HOSPITAL LUIS VERNAZA 2013 - 2016

Abstract

Context: The Liver transplantation is a surgical procedure, which consists of replacing a pathological liver with a healthy liver from a living or cadaveric donor. Since 1963 in the world, since 2012 in Ecuador, and in 2013 in Guayaquil, these procedures have been performed in Luis Vernaza General Hospital where there is no study that specifies the surgical complications that occur in liver transplantation. Objectives: To identify the main causes of liver transplantation; to identify surgical complications of liver transplantation; to determine survival of patients with surgical complications of liver transplantation. Materials and methods: a retrospective, observational and descriptive study was performed at Luis Vernaza General Hospital, whose universe and sample consisted of all patients who entered this health home and underwent liver transplantation in the period January 2013 Until December 15, 2016. Results: The results obtained in this study where 35 transplants were studied, where with respect to the diagnoses that led to liver transplantation, that the most frequent one is cryptogenic cirrhosis in 31,43 %, followed by autoimmune cirrhosis in 25.71%, alcoholic cirrhosis present in 17.14%, and we have grouped other causes including primary biliary cirrhosis, cirrhosis due to hepatitis C, ischemic cholangiopathy present in 9 Cases corresponding to 25.71%; 2,86%), the surgical complications in transplantation patients were also identified in this study and were distributed in vascular thrombosis in 2.86%, biliary fistula in 2.86%, biliary stenosis in 6 cases that corresponds to 17.14%; 25% patients had an average of 0 to 2 months of remaining alive, 37.5% had an average of 3 to 5 Months, 25% had an average of 6 to 11 months and 1 patient equivalent to 12.5% had more than 12 months of survival. Of the 2 patients who had 0 to 2 months since they had their liver surgery, 1 died. Conclusions: The most frequent surgical complication is biliary stenosis, presenting in 6 cases (17.14%), this is a very important information to perform a review of the factors that can turn lead to this complication