Logistic Coordination in Pediatric Liver Transplantation: Criteria for Optimization.

Détails

ID Serval
serval:BIB_80FA03F2E951
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Logistic Coordination in Pediatric Liver Transplantation: Criteria for Optimization.
Périodique
Transplantation proceedings
Auteur(s)
Métroz A., Hertli M., Berney T., Wildhaber B.E.
ISSN
1873-2623 (Electronic)
ISSN-L
0041-1345
Statut éditorial
Publié
Date de publication
12/2019
Peer-reviewed
Oui
Volume
51
Numéro
10
Pages
3320-3329
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Logistic organization of the transplantation coordination process aims to synchronize the recovery and recipient team and to reduce to a minimum the graft's cold ischemia time (CIT), which, in turn, is known, to have deleterious effects on the graft and recipient, if prolonged. To determine whether variables influencing the different steps in the coordination process might allow for reducing CIT, this study aimed to analyze these variables.
Retrospective analysis of 61 pediatric liver transplantations from 2006 to 2015 in the Geneva University Hospitals.
Length of donor hepatectomy was increased for split grafts (P < .0001). Length of recipient hepatectomy was longer in the case of previous surgery (P = .06). The recipient team waiting time for the graft was longer for split grafts (P = .01). The graft waiting time at the recipient site was longer for whole grafts (P = .0005) and increased recipient weight (P = .03). The graft waiting time at the donor site was doubled in the case of recovery of organs after the liver by the same team (P = .007). The graft waiting time at the donor and recipient site not surprisingly increased the CIT (P = .007 and < .0001, respectively).
CIT depends on waiting times during the entire coordination process, which largely depends on the estimation of hepatectomy lengths. A more accurate estimation, considering graft type and recipient's previous surgery and weight, might allow for decreasing CIT and consequently improve outcomes after pediatric liver transplantation.
Pubmed
Web of science
Création de la notice
30/01/2020 16:18
Dernière modification de la notice
31/01/2020 7:26
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