TRASPLANTE HEPÁTICO DE DONANTE CADAVÉRICO EN EL HOSPITAL GENERAL LUIS VERNAZA DE GUAYAQUIL. 2013 - 2016.

Abstract

Background: Liver transplantation (LT) is the therapeutic option of choice for a selected group of patients with terminal liver disease or liver failure. There are indications, contraindications, and well established surgical procedures for this type of surgical intervention. Objectives: To specify the duration of different surgical times of deceased donor liver transplantation; Indicate the length of hospital stay following liver transplantation; and to identify the causes of early surgical reinterventions and retransplantation. Materials and methods: A non-experimental study was carried out, with observational and descriptive action between January 2013 and December 2016. Results: 34 patients with a total of 35 deceased donor liver transplants were included. The average duration of surgery in the recipient was 7 hours. The mean warm ischemia time was 46 minutes and the mean cold ischemia time was less than 8 hours. The average hospital stay was 9 days. There were 6 surgical reinterventions, the most frequent cause was the postoperative bleeding with 12% of frequency and the indication for retransplantation was hepatic artery thrombosis with 3%. Conclusions: The Liver Transplantation Program of the Luis Vernaza Hospital in Guayaquil possesses optimal preservation times as an organ transplant center and the other variables were like those reported by other medical centers specialized in this type of surgical intervention in the world.