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KMID : 0870419970010020201
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1997 Volume.1 No. 2 p.201 ~ p.205
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Orthotopic Liver Transplantation in the Oldest Patient in Korea
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Kim Soo-Tae
Kim Joo-Seop
Lee Young-Cheol
Lee Sam-Uel
Cho Ma-Hae
Choi Hyun
Yoo Jae-Young
Choi Chang-Sig
Yoon Dae-Won
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Abstract
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We present a case of orthotopic liver transplantation in 63 year-old female patient with liver cirrhosis, who is the record of the oldest recipient in Korea. The donor was 20 year-old male patient with subarachnoidal hemorrhage. The operation time was 12 hours. The duration of cold ischemic time and anhepatic phase were 8 hours and 85 minutes respectively. After operation the patient resumed clear consciousness. The ventilator was weaned and removed. On the third postoperative day, reoperation was required due to hemoperitoneum. Splenectomy was performed for a tearing in the hilum. After reoperation, acute renal failure and sepsis developed. Continous arteriovenous hemofiltration was continued for 3 weeks. The patient was discharged on postoperative 59th day. The patient is doing well with normal liver function. No episode of acute rejection occurred until now. More aggressive approach has been feasible in organ transplantation for older patients by advanced knowledge of perioperative management. We conclude that age over 60 years should not be a barrier to liver transplantation.
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KEYWORD
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the oldest patient, liver transplantation
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