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    Evaluation der frühen postoperativen Mortalität und Morbidität nach Lebertransplantation in Abhängigkeit von der Art der Organallokation

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    This study sought to determine whether the different types of liver organ allocation for transplant, namely rescue versus regular, had any determinable influence, first upon differences in organ quality, and second, upon the early postoperative mortality and morbidity of the organ recipient. Within this framework were examined after the fact and completion of the proceedures 87 liver transplantations performed at University Hospital RWTH Aachen. Patients were classified into two groups based on the allocation type of liver they received. Then then two groups were analyzed for difference in quality of organ received and for differences in recipient postoperative mortality and morbidity. The extent to which rescue organs have a negative effect on the postoperative function, transplant, and recipient survival was investigated. Whether rescue organs might be an appropriate instrument for extending the number of organs available is considered. Analyses of the organ recipient data revealed no difference between rescue and regular organs either with respect to 1-year patient and transplant survival or with respect to number of retransplantations and revisions that were performed. Recipients evidently benefited from a rescue organ or a standard organ. Recipients of rescue organs even experienced a significantly shorter intensive care therapy and hospital stay. In addition it could be shown that rescue organs and standard organs did not generally differ in organ quality. Considering the current state of research, there is no reason to think that the function of rescue organs is always limited. Identification of risk factors and avoidance of risk combinations is more important for the postoperative outcome than the type of organ allocation which has a low information value about organ quality. Thus rescue organs could be used to extend the number of available organs
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