Liver transplantation in hepatic cirrhosis: the experience of work of the Federal Siberian research clinical centre
Prevalence and mortality in terminal stages of diffuse liver diseases amount to 60 %. Foremost, liver transplantation is required by hepatic cirrhosis patients with life expectancy below one year or low quality of life conditioned by the disease. Over the past decade, it has become apparent that only orthotropic liver transplantation is a radical, effective and life-saving treatment for hepatic cirrhosis patients. This article reports our own results of operative treatment provided for 13 patients using orthotropic liver transplantation advised in relation to different reasons. The patients underwent surgery at the surgical department of the Federal Siberian Research Clinical Centre under FMBA of Russia. The earliest outcomes observed during the postoperative period and the structure of complications have been analysed. A clinical case of successful orthotropic liver transplantation is presented. It is postulated that development of this field leads to correction of indications to transplantation and the number of absolute contraindications decreases. Consequently, a possible increase in the number of patients advised to undergo transplantation is to be expected.