RT Book, Section
A1 Molmenti, Ernesto Pompeo
A1 de Santibañes, Martin
A1 McCann-Molmenti, Alexia
A1 Miyara, Santiago J.
A1 Molmenti, Hebe
A1 Sardo Molmenti, Christine L.
A1 Cagliani, Joaquin
A1 Sotiropoulos, Georgios C.
A1 Radtke, Arnold
A1 Sgourakis, Georgios
A1 César Bassan, Pablo
A1 Figari Bizzotto, Sabina
A1 Morales, Luis Fernando
A1 Nicastro, Jeffrey M.
A1 Coppa, Gene F.
A1 Rilo, Horacio
A1 de Santibañes, Eduardo
A2 Molmenti, Ernesto Pompeo
A2 Santibañes, Martin de
A2 Santibañes, Eduardo de
SR Print(0)
ID 1180113042
T1 Emergency Total Hepatectomy as a Bridge to Liver Transplantation
T2 Liver Transplantation: Operative Techniques and Medical Management
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260462517
LK accesssurgery.mhmedical.com/content.aspx?aid=1180113042
RD 2024/04/24
AB Highly  unstable  individuals  with  liver  failure  who:Are  candidates  for  liver  transplantationHave  no  immediately  available  liver  grafts  for  transplantationHave  severe  physiologic  derangementsUnresponsive  to  therapyEntirely  attributable  to  their  liver  failureCauses  of  liver  failure:Fulminant  hepatic  failure  associated  with  massive  necrosisAcute  graft  failure  associated  with  massive  necrosisPrimary  graft  nonfunctionMassive  trauma  with  exsanguinationSpontaneous  hepatic  ruptureMassive  uncontrolled  hemorrhageOther“Toxic  liver  syndrome”Total  liver  necrosisCardiovascular  shockRenal  failureLikely  respiratory  failureNeed  for:Vasopressor  supportRenal  replacement  therapyMechanical  ventilationThe  decision  to  proceed  with  emergency  total  hepatectomy  as  the  first  of  a  2-stage  transplant  procedure  should  take  into  consideration:High  mortality  associated  with:Current  conditionAnhepatic  stateWhether  total  hepatectomy  will  bring  enough  stability  to  justify  transplantationExtent  and  reversibility  of  multiorgan  failurePresence  of  sepsisNeurologic  statusIntensive  medical  management  is  required  to  maintain  some  stability  during  the  anhepatic  phase.In  instances  where  a  liver  graft  becomes  available,  it  should  be  determined  that  the  recipient  is  stable  enough  to  tolerate  the  implantation.