Transplant

Transplant2018-10-19T17:54:41+03:00

Four Years of Hepatic Transplantation in the Republic of Moldova

            Rezumat                   Din momentul primului transplant hepatic în Republica Moldova, în 2013, am efectuat 30 de transplante hepatice, primele dintre ele realizate în colaborare cu echipa chirurgicală din România, condusă de Profesorul Irinel Popescu. Deficitul critic de organe cadaverice disponibile ne-au impus să debutăm cu transplant hepatic cu hemi- ficat drept de la donator viu. Într-o treime de transplante hepatice am utilizat grefa de hemificat drept [...]

The Romanian National Program for Liver Transplantation – 852 Procedures in 815 Patients over 17 Years (2000-2017): A Continuous Evolution to Success – Original Article

  Introducere: Transplantul hepatic a devenit o metodă terapeutică standardizată pentru bolile hepatice cronice în stadii terminale, cu peste 20.000 de proceduri anual la nivel mondial. Material şi metodă: În perioada aprilie 2000 şi aprilie 2017, în România au fost efectuate 852 proceduri de transplant hepatic la 817 pacienţi. Raportul bărbaţi/femei a fost de 487/330, iar raportul adulţi/copii de 753/64. Vârsta medie a fost de 46 ani (mediana 50; interval 7 luni – 68 ani). Principala indicaţie de transplant a [...]

Domino Liver Transplantation: How Far Can We Push the Paradigm?

Autori:  Prof. Dr. Irinel Popescu, Dr. Simona O. Dima Center of Digestive Diseases and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania Rezumat:  Domino liver transplantation (DLT) has emerged as a strategy for increasing the number of liver grafts available: morphologically normal livers from donors with metabolic diseases can be used for select recipients with hepatocellular carcinoma (usually outside the Milan criteria). Familial amyloidotic polyneuropathy (FAP) is the most common indication for DLT. When FAP patients are involved in DLT, the [...]

Graft steatosis – where to stop?

Autori:  Radu Zamfir*, Vladislav Braşoveanu*, Leonard David*, Simona Dima*, Florin Botea*, Vasile Lungu*, Tudor Stoian*, Vlad Herlea*, Nicolae Bacalbaşa*, Sorin Ianceu**, Florin Cristian Blăjuţ*, Dana Tomescu***, Irinel Popescu* *“Dan Setlacec” Center of General Surgery and Liver Transplantation,“Fundeni” Clinical Institute, Bucharest, Romania **General Surgery Clinic, Beiuæ Municipal Hospital, Romania ***Department of Anesthesiology and Intensive Care III, “Fundeni Clinical Institute”, Bucharest, Romania Rezumat:  The gap between the availability of livers from organ donors and the increased demand has led many centers to [...]

Transdiaphragmatic cavoatrial anastomosis during orthotopic liver transplantation in a patient with chronic Budd-Chiari syndrome and thrombosis of inferior vena cava proximal to the right atrium – case report and review of literature

Autori:  Vladislav Braşoveanu1,2, Emil Matei1, Mihnea Ioan Ionescu1, Bogdan Rădulescu3, Speranţa Iacob4, Nicolae Bacalbaşa1, Mugur Grasu5, Radu Dumitru5, Dana Tomescu6, Irinel Popescu1 1“Dan Setlacec” Center of General Surgery and Liver Transplantation Fundeni Clinical Institute, Bucharest, Romania 2Faculty of Medicine, “Titu Maiorescu” University, Bucharest, Romania 3“CC Iliescu” Emergency Center of Cardiovascular Diseases, Bucharest, Romania 4Clinic of Gastroenterology, Fundeni Clinical Institute, Bucharest, Romania 5Center of Imagistics and Interventional Radiology, Fundeni Clinical Institute, Bucharest, Romania 6Center of Anesthesiology and Intensive Care, Fundeni Clinical [...]

The Early Stage of Cirrhotic Cardiomyopathy is a Risk Factor for Postreperfusion Syndrome During Liver Transplantation? A Retrospective Observational Study

  Ecaterina Scarlatescu1, Gabriela Droc2,3, Dana Tomescu1,2 1Department of Anaesthesia and Intensive Care III, Fundeni Clinical Institute, Bucharest, Romania 2University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania 3Department of Anaesthesia and Intensive Care I, Fundeni Clinical Institute, Bucharest, Romania Rezumat: Objectives: Despite normal or high cardiac output at rest, cirrhotic patients often exhibit abnormal cardiac function when subjected to stress. During the pretransplant cardiac workup, the diagnosis of cirrhotic cardiomyopathy would be easily missed without the aid of some [...]