Publications by authors named "P Smoter"
Article Synopsis
- Liver transplantation (LT) is used to treat severe liver diseases, including acute liver failure, but post-hepatectomy liver failure (PHLF) is a rare reason for needing LT.
- In a study of 2,703 LT cases from 2000 to 2023, only six patients (0.2%) underwent LT due to PHLF, with a high 90-day mortality of 66.7%.
- Despite high risks and complications, LT remains a vital option for patients with PHLF, as it can be life-saving even though it tends to have poor outcomes.
Background: Cold ischemia time (CIT) is one of the most significant variables affecting graft survival after liver transplantation. The aim of this study was to identify other predictors of worse graft survival depending on the duration of cold ischemia.
Methods: This retrospective cohort study included data of liver transplant recipients and donors in the period from 2014 to 2019.
Article Synopsis
- Early liver retransplantation is considered a final option for patients experiencing irreversible graft failure after an initial liver transplantation (LT).
- This study analyzed data from 2185 LT patients from 1997 to 2019, comparing those who underwent retransplantation within 6 months to those who had never had a transplant.
- The results indicated that while early retransplant patients had a significantly lower 90-day survival rate (89.2%) compared to naïve LT patients (95.7%), those who survived past 90 days had similar long-term survival rates as the naïve group.
Article Synopsis
- Early allograft dysfunction (EAD) is a significant factor in assessing the survival of liver transplant patients and their grafts, prompting a study on its components' impacts on early graft survival.
- The study focused on 264 patients with EAD who underwent liver transplants between 2015 and 2019, analyzing data to determine the relationship between EAD criteria and 90-day graft survival.
- Results indicated that multiple EAD components, particularly an international normalized ratio (INR) of 1.6 or higher on day 7, were strongly correlated with graft loss, highlighting the importance of monitoring these metrics post-transplant.
Background: This study aimed to examine the effect of transaminases' activities in the first posttransplant day on early (90-day) and late (5-year) graft survival.
Methods: This retrospective cohort study included 612 patients after liver transplantation (LT) in the period between 2015 and 2019. Patients with acute liver failure and with vascular complications after LT were excluded.