Transplants Flashcards
Orthotopic
The new organ is put in the same exact place
Why are liver transplants performed?
to eliminate an irreversible disease
How many liver transplants are performed in the US each year?
5000
1 year survival rate after liver transplant
80-85%
What causes liver diease?
Cirrhosis
What leads to cirrhosis?
- Hepatitis C
- Alcoholismas well as congenital metabolic disorders, sclerosing cholantitis, Budd= Chiari syndrome and unresectable hepatoma
What is the indication in children?
Biliary atresia
Where does the bile duct get attached to after a orthotopic liver transplant?
Small intestine
How long does a orthotopic liver transplant take?
5-6 hours
What occurs during a pediatric orthotopic liver transplant?
a portion of the adult liver will be used1 adult liver can be used for 2 children
What percent of the adult liver is removed for a pediatric living donor transplant?
20%
What happens during an adult liver living donor transplant?
RLL removed from donor, liver regenerate and in 4-6 weeks it is functioning at 100%
Which is a more complicated surgery, liver living donor transplant or liver orthotopic transplant?
liver living donor transplant
Most common complication of liver transplants
hepatic artery thrombosis
other complication of liver transplants
thrombus in portal vein or IVC, infection fluid collections- hematomas, ascesses, bilimas, ascitites and seromasbiliary leaks
percent of liver’s that are rejected after a transplant
50-70%
After a liver transplant, what does the hepatic artery do?
provide the only blood supple to the biliary tree
What causes biliary complication?
thrombosis or stenosis of the hepatic artery
When is a pancreas transplant performed?
type 1 diabetes with end stage renal disease
What percent of pancreas transplantation are simultaneous pancreas-kidney transplantation
90%
What happens to the patients diseased pancreas during surgery?
is left in place in the body
Where is the donor’s pancreas placed in the patients body?
right portion of the pelvis along with a small amount of the donor’s duodenum
Complications with pancreas transplants
Thrombosis Pancreatitis Infection Bleeding Rejection
where is the donor’s kidney placed in the patient?
iliac fossa
where is the renal artery located during a kidney transplant?
either the internal iliac artery or external iliac artery
where is the ureter inserted during a kidney transplant?
into the bladder above the ureteral orifice through a submucosal tunnel in the bladder wall
What kidney is removed from the donor for a kidney trasnplant?
Left because the Left Renal Vein is longer
Where is the donor kidney placed during kidney transplant?
The patients right
