Evolution of liver transplantation in Europe: Report of the European Liver Transplant Registry
| Autor: | Daniel Jaeck, Jan Lerut, Peter Neuhaus, Paul McMaster, Ferdinand Mühlbacher, René Adam, Enrique Moreno González, Stephen Pollard, Neville V. Jamieson, Mauro Salizzoni, Joaquín Berenguer, Juan Carlos Garcia Valdecasas, John O'Grady, Jürgen Klempnauer, Xavier Rogiers, Denis Castaing |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Reoperation
medicine.medical_specialty Tissue and Organ Procurement medicine.medical_treatment Liver transplantation Living Donors medicine Humans Registries Survival rate Donor pool Survival analysis Transplantation Hepatology business.industry Liver Diseases medicine.disease Survival Analysis Tissue Donors Liver Transplantation Surgery Europe Hepatocellular carcinoma business |
| Zdroj: | Liver Transplantation. 9:1231-1243 |
| ISSN: | 1527-6465 |
| DOI: | 10.1016/j.lts.2003.09.018 |
| Popis: | The European Liver Transplant Registry (ELTR) currently allows for the analysis of 44,286 liver transplantations (LTs) performed on 39,196 patients in a 13-year period. After an exponential increase, the number of LTs is plateauing due to a lack of organs. To cope with this, alternatives to cadaveric LT, such as split LT, domino LT, or living-related LT (LRLT) are being used increasingly. They now account for 11% of all procedures. One of the most important findings in the evolution of LT is the considerable improvement of results along time with, for the mean time, a one-year survival of 83%, all indications confounded. The improvement is particularly significant for cancers. This improvement is mainly represented by hepatocellular carcinoma, with a gain of 17% for 5-year survival rate from 1990 to 2000. Increasingly, older donors are used to augment the donor pool and older recipients are transplanted due to improved results and a better selection of patients. More than two thirds of deaths and three quarters of retransplantations occurred within the first year of transplantation. Retransplantation is associated with much less optimal results than first LT. One of the prominent features of recent years is the development of LRLT. LRLT is now performed by almost half of the European centers. As with split LT or domino LT, LRLT aims to provide more patients to be transplanted. Special attention is paid to reducing the risk for the donor, which is now estimated to be 0.5% mortality and 21% postoperative morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text