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Two-Year Experience of Orthotopic Liver Transplantation in Afzalipoor Hospital Kerman Southeastern Iran

机译:伊朗东南部克尔曼Afzalipoor医院的原位肝移植两年经验

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摘要

Background: End-stage liver diseases are common in Iran. The only therapeutic option for these patients is liver transplantation.Objective: To present our 2-year experience of liver transplantations in Afzalipoor Hospital, Kerman, southeastern Iran.Methods: From November 2009 to September 2011, 12 patients underwent orthotopic liver transplantation in our center. Their data including demographics, indications for transplantation, MELD scores, post-operative complications and their management were collected.Results: Patients (7 women and 5 men) aged between 14 and 55 years. Indications for the transplantation included HBV infection (n=5), cryptogenic cirrhosis (n=2), Wilson’s disease, alcoholism (n=1), HCV infection (n=1), Budd-Chiari syndrome (n=1), and autoimmune hepatitis (n=1). MELD score of patients ranged from 16 to 30. All patients received tacrolimus, mycophenolate mofetile and corticosteroid, postoperatively. 2 patients died of pulmonary and intra-abdominal infections with resultant to multiple organ failure. Nonfunctioning of transplanted liver and ongoing bleeding resulted in death in another patients. 9 patients are well doing and have excellent liver functions.Conclusion: We had relatively successful results in our experience of orthotopic liver transplantation. Vicinity of our center to Shiraz Transplant Center would be an important factor in this success.
机译:背景:晚期肝病在伊朗很常见。这些患者唯一的治疗选择是肝移植。目的:介绍我们在伊朗东南部克尔曼市阿夫扎利波医院的两年肝移植经验。方法:2009年11月至2011年9月,我们中心有12例患者接受了原位肝移植。他们收集了包括人口统计学,移植适应症,MELD评分,术后并发症及其处理方法在内的数据。结果:患者(7名女性和5名男性)年龄在14至55岁之间。移植的适应症包括HBV感染(n = 5),隐源性肝硬化(n = 2),威尔逊氏病,酒精中毒(n = 1),HCV感染(n = 1),布加综合征(n = 1)和自身免疫性肝炎(n = 1)。患者的MELD评分范围为16至30。所有患者术后均接受他克莫司,霉酚酸酯和皮质类固醇激素治疗。 2例患者死于肺部和腹腔内感染,导致多器官功能衰竭。移植肝功能失调和持续出血导致另一例患者死亡。 9名患者表现良好,并且肝功能优良。结论:我们在原位肝移植的经验中取得了相对成功的结果。我们中心到设拉子移植中心的附近将是取得成功的重要因素。

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