The Clinical Application of Orthotopic Liver Transplantation(A Report of 9 Cases)

Objective Through sum up the experience and lessons of orthotopic liver transplantation,to further elvate the effectiveness of liver transplantation for end-stage liver disease.Methods From March 2001 to August 2006,nine cases of end-stage liver disease patients received orthotopic liver transplantation,six cases were benign end-stage liver disease,3 cases were liver carcinoma.The first five cases operation were piggyback liver transplantation,the last four cases were classical bypass liver transplantation.Results The post-operation survied patient,one patient survived more than 3 years,2 patients survived more than 2 years,one patient survived for more than one year,two cases only three months,all of them resume their normal work and life.Patients died after surgery,one patient died one year and nine months due to stress ulcer bleeding followed by large doses hormone to anti-rejection response,two cases of large hepatocellular carcinoma patients,one died of kidney failure and hyperkalemia after 27 days,another died of a brain haemorrhage after 56 days,one cases of small hepatocellular carcinoma patient with neurological complications,died of cerebral hemorrahage after four months.Conclusion Liver transplantation is the only effective way to treat the end-stage liver disease.