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Modified hepatic outflow tract reconstruction in piggyback liver transplantation


   OBJECTIVE: To summarize the experience in modified reconstruction of the hepatic outflow tract duringpiggyback liver transplantation at our hospital.METHODS: The clinical data on 67 patients undergoing piggyback liver transplantation with modifiedhepatic outflow tract reconstruction from January 1999 to October 2002 were analyzed retrospectively.RESULTS: In this group, 7 patients (10. 45%) died perioperatively. Complications included:pulmonary infection (38 patients); multiple organ system failure (10), intraperitoneal bleeding (6), acuterespiratory distress syndrome (14), thrombosis of the hepatie artery (1), and bile leakage (1). Nohepatic outflow occluded. Two recipients survived for over 3 years, 8 over 2 years, and 19 over a year.CONCLUSION: Modified hepatic outflow reconstruction in piggyback live transplantation may increasethe success rate of liver transplantation and decrease technical complications.……