Skip to main content

Preoperative Care of Adult Patients Chosen for Liver Transplantation

  • Conference paper
Assessment and Management of Hepatobiliary Disease
  • 107 Accesses

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Akamatsu K, Tada K, Okada S, Ohkubo H, Mukai J, Ohta Y (1982) A new method of plasma exchange for acute hepatic failure: filtration of fresh frozen plasma. In: Oda T (ed) Therapeutic plasmapheresis II. Schattauer, Stuttgart, pp 365–367

    Google Scholar 

  2. Akamatsu K, Tanaka Y, Tada K, Okada S, Mukai J, Hashimoto H, Ohkubo H, Ohta Y (1983) Pulmonary microembolism due to the exchange transfusion of fresh-frozen plasma containing microaggregates. In: Oda T (ed) Therapeutic plasmapheresis III. Schattauer, Stuttgart, pp 95–100

    Google Scholar 

  3. Brunner G What is needed for an artificial liver? In: Progress in Artificial Organs. 1985 edited by Y. Nose, L. Kjellstrand and P. Ivanovitch. ISAO Press, Cleveland 1986

    Google Scholar 

  4. Brunner G, Lösgen H (1983) Plasma exchange in liver disease. In: Lysaght M J, Gurland HJ (eds) Plasma separation and plasma fractionation. Karger, Basel, pp 115–123

    Google Scholar 

  5. Brunner G, Lösgen H (1985) Artificial liver support 1985. Leber Magen Darm 15 (5): 186–191

    PubMed  CAS  Google Scholar 

  6. Calne RY (1983) Liver transplantation. Grune and Stratton, London

    Google Scholar 

  7. Erikson S, Lindgren S (1980) Plasma exchange in primary biliary cirrhosis. N Engl J Med 302: 809

    Article  Google Scholar 

  8. Keeling PW, Bull J, Kingston P, Thompson RPH (1981) Plasma exchange in primary biliary cirrhosis. Postgrad Med J 57: 433

    Article  PubMed  CAS  Google Scholar 

  9. Pichlmayr R, Brölsch C, Wonigeit K, Neuhaus P, Siegismund S, Schmidt FW, Burdelski M (1984) Experiences with liver transplantation in Hannover. Hepatology 4 (1): 56S-60S

    Article  PubMed  CAS  Google Scholar 

  10. Pichlmayr R, Neuhaus P, Ringe B, Wonigeit K, Burdelski M, Verner L, Lauchart W, Schmidt FW (1985) Development in liver transplantation. Jpn J Surg 15 (6): 409–419

    Article  PubMed  CAS  Google Scholar 

  11. Starzl TE, Iwatsuki C, van Thiele D, Gartner J, Zitelli B, Malatack J, Schade R, Shaw B, Hakala T, Rosenthal J, Porter K (1982) Evolution of liver transplantation. Hepatology 2: 614

    Article  PubMed  CAS  Google Scholar 

  12. Starzl TE, Iwatsuki S, Shaw BW Jr, van Thiel DH, Gartner JC, Zitelli BJ, Malatack JJ, Schade RR (1984) Analysis of liver transplantation. Hepatology 4 (1): 47S-49S

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag Heidelberg

About this paper

Cite this paper

Brunner, G., Lauchart, W., Ringe, B., Freyberger, H., Pichlmayr, R. (1987). Preoperative Care of Adult Patients Chosen for Liver Transplantation. In: Okolicsányi, L., Csomós, G., Crepaldi, G. (eds) Assessment and Management of Hepatobiliary Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72631-6_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-72631-6_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-72633-0

  • Online ISBN: 978-3-642-72631-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics