Abstract
The first attempted liver transplantation was reported in 1955 by C. S. Welch, who described the insertion of an auxiliary graft in dogs [1]. Animal liver replacement (orthotopic transplantation) was performed 1 year later by J. Cannon [2]. At that time no immunosuppression was administered and preservation of the graft was not a crucial objective. Hence, results were affected by high rates of rejection and mortality. Improvements in organ preservation and development of immunosuppressive regimens, based on those used in kidney transplantation, prompted pioneering surgeons to transpose animal’s experience to humans. The years 1963 and 1964 saw these first attempts in the United States and Europe [3, 4]. However, none of the patients concerned survived more than 1 month. Therefore, pessimism prevailed world-wide concerning this procedure. Years of laboratory efforts led to a new wave of enthusiasm for human liver transplantation. From 1967 to 1980, several teams began a liver transplantation program but, despite considerable efforts, the resulting 1-year survival rates remained under 50% [5]. Albeit miraculous benefits were obtained, the procedure was considered feasible but impracticable on a large scale given the high mortality rates often occurring during the first postoperative months. Revolution came from the availability of cyclosporine as a new immunosuppressive drug in 1979 [6] and the development of the UW(University of Wisconsin) preservation solution at the end of the 1980s [7].
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References
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Le Moine, O., Deviere, J., Goldman, M. (1998). The inflammatory cascade of liver ischemia and reperfusion: from the donor to the recipient. In: Touraine, J.L., Traeger, J., Bétuel, H., Dubernard, J.M., Revillard, J.P., Dupuy, C. (eds) Organ Allocation. Transplantation and Clinical Immunology, vol 30. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4984-6_22
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