Principles of Hepatic Surgery

Author(s): Fady M. Kaldas, Hasan Yersiz and Ronald W. Busuttil

DOI: 10.2174/9781681082851116010036

Technical Aspects of Liver Transplantation

Pp: 505-524 (20)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

• The technical evolution and refinement of liver transplantation over the past 50 years has allowed liver replacement to alter the course of end-stage liver disease as a life-ending condition, thereby giving patients a second chance at a full and healthy life.

• The execution of donor hepatectomy, back-table preparation, recipient hepatectomy and graft implantation are all essential to the completion of a single liver transplant.

• Living donor liver transplantation needs to be carefully considered in select cases while preserving the well-being of the donor to the maximum extent possible.

• Early detection and management of vascular and biliary complications provides the best chance for a favorable outcome.

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