%0 Journal Article
%T 1000 Liver Transplantations at the Department of General, Transplant and Liver Surgery, Medical University of Warsaw - Analysis of Indications and Results
%A Marek Krawczyk
%A Micha  Gr t
%A Krzysztof Barski
%A Joanna Ligocka
%A Arkadiusz Antczak
%A Oskar Kornasiewicz
%A Micha  Skalski
%A Waldemar Patkowski
%A Pawe  Nyckowski
%A Krzysztof Zieniewicz
%A Ireneusz Grzelak
%A Jacek Pawlak
%A Abdulsalam Alsharabi
%A Tadeusz Wr¨®blewski
%A Rafa  Paluszkiewicz
%A Bogus aw Najnigier
%A Krzysztof Dudek
%A Piotr Remiszewski
%A Piotr Smoter
%A Mariusz Grodzicki
%A Micha  Korba
%A Marcin Kotulski
%A Bartosz Cie lak
%A Piotr Kalinowski
%A Piotr Gierej
%A Mariusz Fr czek
%A ukasz Rdzanek
%A Rafa  Stankiewicz
%A Konrad Kobry¨˝
%A ukasz Nazarewski
%A Dorota Leonowicz
%A Magdalena Urban-Lechowicz
%A Anna Skwarek
%A Dorota Giercuszkiewicz
%A Agata Paczkowska
%A Jolanta Piwowarska
%A Remigiusz Gelo
%A Pawe  Andruszkiewicz
%A Anna Brudkowska
%A Renata Andrzejewska
%A Grzegorz Niewi¨˝ski
%A Beata Kili¨˝ska
%A Aleksandra Zarzycka
%A Robert Nowak
%A Cezary Kosi¨˝ski
%A Teresa Korta
%A Urszula O dakowska-Jedynak
%A Joanna Sa¨˝ko-Resmer
%A Bartosz Foroncewicz
%A Jacek Zi¨® kowski
%A Krzysztof Mucha
%A Grzegorz Senatorski
%A Leszek P czek
%A Andrzej Habior
%A Robert Lechowicz
%A S awomir Pola¨˝ski
%A El bieta Leowska
%A Ryszard Pacho
%A Ma gorzata Andrzejewska
%A Olgierd Rowi¨˝ski
%A S awomir Kozie
%A Jerzy  urakowski
%A Bogna Ziarkiewicz-Wr¨®blewska
%A Barbara G¨®rnicka
%A Piotr Hevelke
%A Bogdan Micha owicz
%A Andrzej Karwowski
%A Jerzy Szczerba¨˝
%J Polish Journal of Surgery
%D 2012
%I Versita
%R 10.2478/v10035-012-0051-y
%X The aim of the study was to analyze indications and results of the first one thousand liver transplantations at Chair and Clinic of General, Transplantation and Liver Surgery, Medical University of Warsaw. Material and methods. Data from 1000 transplantations (944 patients) performed at Chair and Clinic of General, Transplantation and Liver Surgery between 1994 and 2011 were analyzed retrospectively. These included 943 first transplantations and 55 retransplantations and 2 re-retransplantations. Frequency of particular indications for first transplantation and retransplantations was established. Perioperative mortality was defined as death within 30 days after the transplantation. Kaplan-Meier survival analysis was used to estimate 5-year patient and graft survival. Results. The most common indications for first transplantation included: liver failure caused by hepatitis C infection (27.8%) and hepatitis B infection (18%) and alcoholic liver disease (17.7%). Early (< 6 months) and late (> 6 months) retransplantations were dominated by hepatic artery thrombosis (54.3%) and recurrence of the underlying disease (45%). Perioperative mortality rate was 8.9% for first transplantations and 34.5% for retransplantations. Five-year patient and graft survival rate was 74.3% and 71%, respectively, after first transplantations and 54.7% and 52.9%, respectively, after retransplantations. Conclusions. Development of liver transplantation program provided more than 1000 transplantations and excellent long-term results. Liver failure caused by hepatitis C and B infections remains the most common cause of liver transplantation and structure of other indications is consistent with European data.
%K liver transplantation
%K indications
%K results
%K mortality
%U http://versita.metapress.com/content/x40x6n70k7p13740/?p=560549c5352e4feb9131779b86183ec1&pi=5