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La transplantation hépatique. Expérience préliminaire de l'Hôpital cantonal universitaire de Genève

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Published in Swiss medical weekly. 1990, vol. 120, no. 29, p. 1037-1044
Abstract Between July 1987 and May 1989, 11 liver transplants were performed on 10 patients at the University Hospital of Geneva. Of 15 patients evaluated for elective transplantation, 10 were accepted and put on the waiting list. 5 patients were rejected because of a contraindication or because another treatment seemed preferable. 8 transplantations were eventually performed. Emergency transplantation was considered for 6 patients, but could be performed in only 3. Indications for transplantation were as follows: one hepatocellular carcinoma in a non-cirrhotic patient, 2 post-hepatitis cirrhoses (one B and one non-A-, non-B), 3 primary biliary cirrhoses, one autoimmune cirrhosis, one primary sclerosing cholangitis, one cirrhosis on alpha-1-antitrypsin deficiency, and one fulminant B-Delta hepatitis. Most of these patients had advanced liver disease and a limited life expectancy. 8 of the 10 patients transplanted are nevertheless alive and none is hospitalized at the present time. More than mere survival, however, quality of life regained after transplantation prompts us to consider transplantation early in the progress of the disease. Earlier evaluation of patients would make transplantation feasible soon after the first complication of the disease. This attitude would probably prevent patients from dying while on a waiting list and decrease operative as well as early postoperative risks. Better information and coordination regarding potential donors is necessary in Switzerland to obtain better results in organ transplantation.
Keywords AdultCholangitis, Sclerosing/surgeryEmergenciesFemaleHumansImmunosuppressionLength of StayLiver Cirrhosis/surgeryLiver TransplantationMaleMiddle AgedPostoperative Complications/etiology
PMID: 2374894
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Research groups Chirurgie viscérale (104)
Chirurgie viscérale (HUG)
Hépatologie chirurgicale (327)
Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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MENTHA, Gilles et al. La transplantation hépatique. Expérience préliminaire de l'Hôpital cantonal universitaire de Genève. In: Schweizerische medizinische Wochenschrift, 1990, vol. 120, n° 29, p. 1037-1044. https://archive-ouverte.unige.ch/unige:9402

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