Research Article
When to Re-explore Recipients in LRLT
Selvakumar Naganathan*, Mohammed Nayeem, Neerav Goyal and Subash Gupta
Indraprasta Apollo Hospital, Sarita Vihar, 110085, New Delhi, India
- Corresponding Author:
- Selvakumar Naganathan
Indraprasta Apollo Hospital
Sarita Vihar, 110085, New Delhi, India
Tel: +919871756756
E-mail: enselva1@gmail.com
Received date: March 06, 2016; Accepted date: June 12, 2016; Published date: June 23, 2016
Citation: Naganathan S, Nayeem M, Goyal N, Gupta S (2016) When to Re-explore Recipients in LRLT? J Gastrointest Dig Syst 6:447. doi:10.4172/2161-069X.1000447
Copyright: © 2016 Naganathan S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Re-exploration is one of the surgical complications of living donor liver transplantations. Re-explorations are of two types planned and unplanned. Unplanned re-exploration does always mean poor prognosis to the patient outcome? Was the aim of our study? We analysed retrospectively prospectively maintained data from Jan 2011 to August 2013. Total number of transplants done was 793. Total number of re-explorations was 80 in 66 patients. Reexploration rate was 10.08%. Total mortality in our series was 10.5%. Mortality in Re-exploration group was 45.45%. Of the group of patients re-explored patients re-explored for early haemorrhage had better outcomes compared to patients explored for other reasons. Re-explored patients are at higher risk of fungal infections. Patients with multiple bile ducts are at higher risk of re-explorations. Patients re-explored in the immediate post-operative period had better outcomes compared to patients re-explored late. Overall it is a poor prognostic indicator of surgical outcome in living donor liver transplantation.
