Abstract：
INTRODUCTION:Living donor liver transplantation (LDLT) is an alternative to conventional transplantation given its excellent results. The aim of this study is to evaluate long-term outcomes in LDLT recipients. METHODS:100 consecutive THDV recipients from the Hospital Clínic of Barcelona from March 2000 to October 2015 were included. The main indication for transplantation was end-stage liver disease (58%) followed by hepatocellular carcinoma (41%). 95% of grafts consisted of the right liver of the donor and the 5% of the left liver. RESULTS:After a median follow-up of 65.5 months, patient and graft survival at 1, 3, and 5 years was 93%, 80% and 74% and 90%, 76%, and 71%, respectively. The overall re-transplant rate was 9%. The most common long-term complication was biliary stenosis (40%) with an average time of onset of 13.5±12 months, with repeated admissions and an average of 1.9±2 endoscopic procedures and 3.5±3 Radiological procedures per patient. The definitive treatment was radiological dilation in 40% of cases, surgical intervention in 22.5% and re-transplantation in 7.5%. CONCLUSIONS:Given the long-term results, LDLT is confirmed as an alternative to conventional transplantation. However, the high rate of late biliary complications involves repeated admissions and invasive treatments that, while not compromising survival, can affect the patient's quality of life.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Sánchez Cabús S,Estalella L,Pavel M,Calatayud D,Molina V,Ferrer J,Fondevila C,Fuster J,García-Valdecasas JCdoi
10.1016/j.ciresp.2017.03.012subject
Has Abstractpub_date
2017-01-01 00:00:00pages
313-320issue
6eissn
0009-739Xissn
1578-147Xpii
S0009-739X(17)30095-7journal_volume
95pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract：INTRODUCTION:Current studies have shown the validity of the atraumatic fixation with fibrin glue (Tissucol) compared to conventional sutures in polypropylene mesh fixation. We propose to study the behaviour of absorbable mesh. MATERIAL AND METHODS:We used 20 Wistar white rats. Two hernia defects were made in the abdom...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.05.004
更新日期：2009-10-01 00:00:00
abstract：:Autoimmune pancreatitis (AIP) is defined as a particular form of pancreatitis that often manifests as obstructive jaundice associated with a pancreatic mass or an obstructive bile duct lesion, and that has an excellent response to corticosteroid treatment. The prevalence of AIP worldwide is unknown, and it is consider...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2014.01.013
更新日期：2014-12-01 00:00:00
abstract：:Endoanal ultrasound is undoubtedly one of the major advances that has taken place in the evaluation of anorectal disease and pelvic floor disorders in the last decade. The main indications for endoanal ultrasound are evaluation of the morphology of the sphincteric apparatus in patients with fecal incontinence, the loc...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(05)74638-8
更新日期：2005-12-01 00:00:00
abstract：:Inflammatory pseudotumor is a non-neoplastic process characterized by irregular growth of inflammatory cells. This type of tumor can arise in any part of the body; most are confined to a single site and are benign. We present the case of a 51-year-old man in whom a solitary pulmonary nodule was detected as an incident...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71287-3
更新日期：2007-03-01 00:00:00
abstract：:Despite recent advances in the medical treatment of ulcerative colitis (UC), approximately 25-40% of patients will need surgery during their disease. The aim of elective surgical treatment of UC is to remove the colon/and rectum with minimal postoperative morbidity, and to offer a good long-term quality of life. There...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2012.07.019
更新日期：2012-11-01 00:00:00
abstract：INTRODUCTION:Although the Nuss technique revolutionized the surgical treatment of pectus excavatum, its use has not become widespread in our country. The aim of this study was to analyze the current use of this technique in a sample of Thoracic Surgery Departments in Spain. METHODS:Observational rectrospective multice...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2015.08.001
更新日期：2016-01-01 00:00:00
abstract：UNLABELLED:Management of biliary tract complications (BTC) after liver transplantation (LT) has progressed in recent years. The aims of this study were, to analyse the incidence and management in our institution of BTC after 1000 LT; and to study the management of patients with anastomotic strictures (AS). RESULTS:The...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2010.03.010
更新日期：2010-06-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to evaluate the applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis. PATIENTS AND METHODS:All patients diagnosed with uncomplicated acute diverticulitis based on abdominal computed tomography findings during a...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70989-7
更新日期：2006-12-01 00:00:00
abstract：:Periodic endoscopic follow-up is recommended after the diagnosis of Barrett's oesophagus, particularly in patients with dysplasia. The new endoscopic techniques show promising results in identifying areas suspected of housing high grade dysplasia and adenocarcinoma. Endoscopic resection of the mucosa has become a fund...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2009.01.026
更新日期：2009-06-01 00:00:00
abstract：INTRODUCTION:Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colo...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.12.002
更新日期：2021-01-20 00:00:00
abstract：BACKGROUND:Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programs in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS pro...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2015.04.009
更新日期：2015-10-01 00:00:00
abstract：INTRODUCTION:Advanced age and comorbidity impact on post-operative morbi-mortality in the frail surgical patient. The aim of this study is to assess the impact of a comprehensive, multidisciplinary and individualized care delivered to the frail patient by implementation of a Work Area focused on the Complex Surgical Pa...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.09.015
更新日期：2018-03-01 00:00:00
abstract：:Adenocarcinoma (ADC) of the anal canal is a rare disease comprising only 5% of all anorectal neoplasias and 1.5% of all gastrointestinal tumours. The World Health Organisation classifies anal ADC into 3 types: the first may arise from the mucosa of the transitional zone in the upper canal, the second from the anal gla...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2013.01.002
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION:Different hormones and peptides involved in lipid and carbohydrate metabolism have been studied in relation to morbid obesity and its variation after bariatric surgery. The aim of this study is toevaluate variations in different molecules related to glico-lipidic metabolism during the first year after slee...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.07.019
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVE:To determine the proportion of inappropriate days of hospitalization in the general surgery wards of three university hospitals, its causes, and associated factors. MATERIAL AND METHOD:We concurrently reviewed 596 days of hospitalisation during a 1-week period in 2000, using the Appropriateness Evaluation Pr...
journal_title：Cirugia espanola
pub_type： 杂志文章,多中心研究
doi：10.1016/s0009-739x(05)70913-1
更新日期：2005-09-01 00:00:00
abstract：:Approximately 10% of all low rectal cancer needs surgical resection extended to other pelvic structures. Indication for extended resection should be given according to a precise systemic and local preoperative staging. Magnetic Resonance Imaging is the most important instrument utilized by the Multidisciplinary Team t...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/S0009-739X(14)70007-7
更新日期：2014-03-01 00:00:00
abstract：AIM:To assess the value of using smooth muscle relaxants drugs and assess the results of the topical use of 2% diltiazem as an alternative to 0.2% nitroglycerin in the treatment of chronic anal fissure (CAF). METHODS:Review of the CAF contained in a prospectively collected database of anal fissures including one hundr...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.12.013
更新日期：2010-04-01 00:00:00
abstract：INTRODUCTION:The hepatic cystic tumour is a very rare neoplasm, representing about 5% of all cystic liver neoplasms. The preoperative diagnosis is difficult and can lead to confusion. The aim of this study is to analyze a number of cases operated at our centre with an histologic diagnosis of liver cystic neoplasms and ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.04.007
更新日期：2021-01-01 00:00:00
abstract：INTRODUCTION:The treatment of rectal cancer via laparoscopy is controversial due to its technical complexity. Several randomized prospective studies have demonstrated clear advantages for the patient with similar oncological results to those of open surgery, although during the learning of this surgical technique there...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.03.013
更新日期：2014-08-01 00:00:00
abstract：INTRODUCTION:For the last year we have substituted laparotomy with laparoscopy for the abdominal stage of esophageal cancer surgery. We report our experience of the introduction of video-assisted surgery in the treatment of esophageal cancer. PATIENTS AND METHOD:We report our experience of nine patients diagnosed with...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(05)70810-1
更新日期：2005-02-01 00:00:00
abstract：INTRODUCTION:The new methods of teaching, based on new technologies, already available in other educational and professional fields are gradually being introduced in our Medical Schools. The aim of our study is to present our initial experience in the introduction of a subject on the principles of surgery in our univer...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.01.001
更新日期：2009-03-01 00:00:00
abstract：INTRODUCTION:The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD:Between 2002 and 2008, a prospective series of ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.01.010
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To evaluate satisfaction among patients who underwent thoracic sympathectomy for primary hyperhidrosis and the possible complications after a minimum of 14 months after surgery. MATERIAL AND METHODS:We performed a retrospective study in 108 patients who underwent thoracic sympathectomy and who responded to a...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70876-4
更新日期：2006-05-01 00:00:00
abstract：INTRODUCTION:We prospectively evaluated health-related quality of life (HRQoL) through the gastrointestinal quality of life index (GIQLI) as a system to prioritize patients on the waiting list for laparoscopic cholecystectomy (LC) and its correlation with a linear prioritization system developed in the General and Gast...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2012.07.021
更新日期：2013-05-01 00:00:00
abstract：:It is accepted by the surgical community that laparoscopic cholecystectomy (LC) is the technique of choice in the treatment of symptomatic cholelithiasis. However, more controversial is the standardization of system implementation in Ambulatory Surgery because of its different different connotations. This article aims...
journal_title：Cirugia espanola
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.ciresp.2015.03.012
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to analyze prognostic factors for survival and recurrence in patients with resected pancreatic neuroendocrine tumors (PNT). METHODS:Medical records of 95 patients with resected PNT were retrospectively reviewed. The variables studied were: age, sex, form of presentation (sporadic...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2016.05.010
更新日期：2016-10-01 00:00:00
abstract：:Granular cell tumor is a very rare entity (0.03%) with controversial management, due to its low incidence and its usually benign behavior (98%). Its location in the digestive tract is unusual (3-11%), being the esophagus the most frequently affected organ, with about 400 published cases. However, the incidence in the ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.09.009
更新日期：2020-10-22 00:00:00
abstract：:When bariatric and metabolic surgery initially began in Spain, it was a subject of debate, due to not knowing exactly who were the first surgeons to perform it. A study has revealed the authors of the first interventions. ...
journal_title：Cirugia espanola
pub_type： 历史文章,杂志文章
doi：10.1016/j.ciresp.2012.11.003
更新日期：2013-08-01 00:00:00
abstract：:The International Donor Collaborative Project (PCID) research group was created in 1996 in Spain with the aim of promoting research in the field of organ donation and transplantation, led by Spanish surgeons. During this period they have developed the questionnaires of the PCID, both the attitude towards cadaver and l...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.11.009
更新日期：2018-02-01 00:00:00
abstract：INTRODUCTION:During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by tel...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.06.019
更新日期：2020-07-08 00:00:00
