目的:目的是检查冷缺血时间和无肝期持续时间在围手术期输血需求方面的总体作用,住院条件和术后费用,和接受者的生存。
方法:本研究纳入了148名成人活体肝移植受者(18岁及以上)。无肝期和冷缺血持续时间是否对手术时间的发生率有影响,血液制品输血,住院和重症监护病房总住院时间,术后胆道并发症,肝静脉血栓形成,门静脉血栓形成,术后早期出血,脓毒症,和原发性移植物功能障碍。进行了统计分析。此外,通过建立患者随访期的平均值,对无肝期和冷缺血时间对移植物存活的影响进行统计学检验.
结果:观察到手术时间随着冷缺血时间的增加而统计学上增加(P=.000)。其他发现与冷缺血时间和无肝期之间无统计学意义的关系。
结论:冷缺血时间延长手术时间可能是移植围手术期和术后结果的重要发现。
OBJECTIVE: It was aimed to examine the overall role of cold ischemia time and anhepatic phase durations in terms of peroperative blood transfusion needs, hospital stay conditions and postoperative charges, and survival in recipients.
METHODS: One hundred forty-eight adult living donor liver transplant recipients (18 years and older) were included in the study. Whether the anhepatic phase and cold ischemia duration have an effect on the rates of surgery time, blood product transfusion, total hospital and intensive care unit stay, postoperative biliary complications, hepatic vein thrombosis, portal vein thrombosis, early postoperative bleeding, sepsis, and primary graft dysfunction. Was analyzed statistically. In addition, the effect of the anhepatic phase and cold ischemia time on graft survival was statistically examined by creating an average of the patient follow-up period.
RESULTS: It was observed that the operation time increased statistically as the cold ischemia time increased (P = .000). No statistically significant relationship was found between other findings and cold ischemia time and anhepatic phase.
CONCLUSIONS: Prolonged surgery time due to increased cold ischemia time may be an important finding in terms of peroperative and postoperative results of the graft.