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Liver Transplant Complications Management

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Textbook of Emergency General Surgery

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Abstract

Orthotopic liver transplantation (OLT) is the standard for care of end-stage liver disease, acute liver failure, and several selected primary hepatobiliary malignancies. OLT harbors high rates of mortality and morbidity. Herein, we reviewed the most relevant complications that might occur in the early and late postoperative settings after OLT. Thus, we went through the diagnostic features and therapeutic options of arterial, portal, and biliary complications. We also emphasized the main graft-unrelated abdominal surgical complications and their management.

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Further Reading

  • Adam R, Karam V, Delvart V, O’Grady J, Mirza D, Klempnauer J, et al. Evolution of indications and results of liver transplantation in Europe. A report from the European Liver Transplant Registry (ELTR). J Hepatol. 2012;57(3):675–88.

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  • Sainz-Barriga M, Scudeller L, Costa MG, de Hemptinne B, Troisi RI. Lack of a correlation between portal vein flow and pressure: toward a shared interpretation of hemodynamic stress governing inflow modulation in liver transplantation. Liver Transpl. 2011;17(7):836–48.

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Acknowledgments

Special thanks to Dr. Nicola De Angelis for his valuable contribution to the revision of the final manuscript.

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Authors and Affiliations

  1. Department of Hepatobiliary, Pancreatic and Digestive Oncological Surgery, Robert Debré University Hospital, Reims, France

    Rami Rhaiem & Linda Rached

  2. University Reims Champagne-Ardenne, Reims, France

    Rami Rhaiem & Linda Rached

  3. Department of Digestive and Hepatobiliary and Pancreatic Surgery, AP-HP, Henri-Mondor Hospital, Créteil, France

    Raffaele Brustia & Daniele Sommacale

  4. University of Paris Est, UPEC, Créteil, France

    Raffaele Brustia & Daniele Sommacale

Authors
  1. Rami Rhaiem
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  2. Raffaele Brustia
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  3. Linda Rached
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  4. Daniele Sommacale
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Corresponding author

Correspondence to Daniele Sommacale .

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Editors and Affiliations

  1. General, Emergency and Trauma Surgery Dept., Pisa University Hospital, Pisa, Italy

    Federico Coccolini

  2. General and Emergency Surgery Dept., Bufalini Hospital, Cesena, Italy

    Fausto Catena

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Rhaiem, R., Brustia, R., Rached, L., Sommacale, D. (2023). Liver Transplant Complications Management. In: Coccolini, F., Catena, F. (eds) Textbook of Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-22599-4_106

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  • DOI: https://doi.org/10.1007/978-3-031-22599-4_106

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