Time：2023-03-26 02:00:18 source：psychiatricethics.com author：Anxiety disorder Read：288次

When is a liver transplant done? How long can I live after a liver transplant? doctor for you

The health of the liver is very important to the human body, but many people in life need liver transplantation for various reasons. However, these people often have some misunderstandings about the prognosis of liver transplantation or the related understanding of liver transplantation. In this regard, Zhao Qiang, deputy chief physician of the Department of Organ Transplantation of the First Affiliated Hospital of Sun Yat-sen University, conducted a popular science on liver transplantation, hoping to clear up the confusion for patients or their families in need. Three types of liver disease patients requiring liver transplantation Liver transplantation is the removal of the patient's diseased liver and the implantation of a donated normal healthy liver into the patient. Zhao Qiang, deputy chief physician, said that patients who need liver transplantation can be divided into the following three categories: first, patients with decompensated cirrhosis; second, patients with liver cancer; third, patients with liver failure who need urgent liver transplantation. Patients with liver cirrhosis: Many patients with decompensated liver cirrhosis will insist on conservative treatment if they feel that they have not developed liver cancer. In fact, conservative treatment can only moderately improve the symptoms of patients and cannot reverse the course of liver cirrhosis. Once the patient enters the decompensated stage of liver cirrhosis, there will be a higher risk of bleeding, infection, etc., and the quality of life will be seriously reduced. Deputy Chief Physician Zhao Qiang suggested that patients should undergo a preoperative evaluation of liver transplantation while undergoing conservative treatment, and be added to the transplant waiting list in time to avoid delaying the best time for liver transplantation. Liver cancer patients: Liver cancer patients who meet the UCSF criteria, that is, a single tumor in the patient's liver is less than 6.5cm; or less than 3 tumors in the liver, and the diameter of each tumor is less than 4.5cm, and the sum of the tumor diameters is less than 8cm. This type of liver cancer is also suitable for liver transplantation, and the prognosis of transplantation is good. Liver failure patients: Liver failure patients also need liver transplantation, but the time window for such patients to wait for transplantation is very short, maybe only one to two weeks. Therefore, it is recommended that patients in the decompensated stage of liver cirrhosis should join the waiting list, so that they can have enough time to make choices and get a better prognosis. Ischemia-free organ transplantation technology, significantly improving the prognosis of transplantation Organ transplantation is considered by many people to be a very high-risk operation with a low success rate. But in fact, organ transplantation has now become a routine operation. Zhao Qiang, deputy chief physician, said that the annual survival rate of liver transplant patients can exceed 90%, and the 5-year survival rate can also exceed 75%. However, if the perioperative risks can be avoided through technical surgery, the prognosis of transplantation can be further improved. In traditional liver transplants, the organ is removed from the donor, and the organ is in a state of interrupted blood flow, so it needs to be stored in a refrigerator. During this process, the organ will suffer severe ischemic damage, and there is no good way to assess the function of the organ. This organ ischemic damage is the biggest source of risk in the perioperative period of liver transplantation. Later, the ischemia-free organ transplantation technology appeared, which allowed the organ to complete the liver acquisition, ex vivo preservation and liver implantation under the condition of continuous blood supply. Let the organ be transplanted to the patient in the freshest state, avoiding the risk of organ transplantation as much as possible. Therefore, for patients who need liver transplantation, it is necessary to have a deeper understanding of organ transplantation, not to be misled by wrong information on the Internet, and to choose a good time for transplantation to obtain the best prognosis of transplantation. Reborn"! Family doctor's online feature, may not be reproduced without authorization

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