Preoperative Care of Adult Patients Chosen for Liver Transplantation
Liver transplantation has found its place as an accepted therapy in end-stage liver disease. It is no longer considered an experimental procedure [6, 9, 10–12]. However, the chance of immediate and long-term survival is still far from ideal. Low-risk and high-risk (elective and non-elective) patients are offered to the transplant surgeon, and it is well known that the best results are achieved in the elective or low-risk patients [9, 11, 12] (Fig.l). Therefore surgeons urge the internist to send patients earlier. The internist, however, tends to keep the patient on conservative regimes as long as possible before he makes such a far-reaching decision. This often results in a situation where the patient becomes an extremely high operative risk.
KeywordsLiver Transplantation Primary Biliary Cirrhosis Plasma Exchange Acute Liver Failure High Operative Risk
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