Abstract
The aim of this preliminary study is to evaluate, retrospectively, the influence of different variates, before and during surgery, in relationship to the complications in the E.P.P. This period is defined as the first seven days after surgery.
As a continuation of our O.L.T. program, since november 1992 until now days, we performed 8 O.L.T. in children.
The studied variates were: 1) Waiting time. 2) Physical state. 3) Preoperative serun albumin leveL 4) Surgical time, 5) Ischemic time. 6) Cold ischemic time. 7) Volumen of fluid given in surgery. 8) Bile production. 9) Metabolic disorders (hypokalemia, hypocalcemia, metabolic alkalosis, hypernatraemia). 10) Reduced size segmental lever.
The postoperative complications were: a) Mechanical ventilation time and pulmonary pathology, b) Acute renal failure, c) Surgical corn plications, d) Infection, e) Rejection.
The logistic regression test was used as statistical analysis.
No variates showed statistical significance.
We can conclude that the lacking statistical sigruficance may be linked to the few cases we analized. However, we have found a relation betwen fluid balance during surgery and pulmonary complication. We consider this is a very important valoration to decide weaning procedures.
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Acerenza, M., Entin, E., Centeno, M. et al. ORTHOTOPIC LIVER TRANSPLANTATION (O.L.T.) IN CHILDREN. COMPLICATION IN THE EARLY POSTOPERATIVE PERIOD (E.P.P.). Pediatr Res 36, 826 (1994). https://doi.org/10.1203/00006450-199412000-00045
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DOI: https://doi.org/10.1203/00006450-199412000-00045