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Selection of operative opportunity for severe hepatitis patients treated by liver transplantation operations (36 cases reports)

JIANG Yi, LV Li-zhi, ZHANG Kun, HU Hai-zhang, ZHANG Xiao-jin, CHEN Yong-biao, CHEN Shao-hua, YANG Fang, CAI Qiu-chen, WEI Wei-ming, ZANG Shu-yuan, PAN Fan, ZHANG Shao-geng, LIN Hua. Organ Transplantation Center of PLA, Hepatobiliary Surgical Graduate School of Nanjing Military Area, Department of Hepatobiliary Surgery Fuzhou General Hospital, Fuzhou 350025, China  
Objective Analysis on the selection of operative opportunity for severe hepatitis patients treated by liver transplantation operations. Methods Thirtysix patients with severe hepatisis were treated by orthotopic liver transplantations. Results The patients were differentiated into two groups with MELD grade less than thirty and more than thirty respectively, For one year survival rate and postoperative complications, the former were significantly lower than the latter (77.8% and 33.3%, P=0.007)(P=0.012). For the operation time, operative haemorrhage, transfusion and total hospitalization costs, there were no significant differences between the two groups of patients. But for the daily hospitalization cost, the former was much lower than the latter (P=0.008). Conclusion For the postoperative prognosis of orthotopic liver transplantations, the patients with MELD grade less than thirty were much preponderant than those with MELD grade higher than thirty.
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