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The devil is in the detail

current management of perioperative surgical complications after liver transplantation

Patel, Priyal; DiNorcia, Joseph

Current Opinion in Organ Transplantation: April 2019 - Volume 24 - Issue 2 - p 138–147
doi: 10.1097/MOT.0000000000000616
LIVER TRANSPLANTATION: Edited by Sophoclis P. Alexopoulos
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Purpose of review Despite advances in the field, perioperative morbidity is common after liver transplantation. This review examines the current literature to provide up-to-date management of common surgical complications associated with liver transplantation.

Recent findings Research focuses on problems with anastomoses of the vena cava, portal vein, hepatic artery, and bile ducts. Interventional endoscopic and radiological techniques are used more frequently to avoid reoperation.

Summary Advances in the management of perioperative surgical complications have focused on minimally invasive measures that successfully treat technical problems with implantation of liver allografts from both living and deceased donors.

Division of Liver and Pancreas Transplantation, Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California, USA

Correspondence to Joseph DiNorcia, MD, David Geffen School of Medicine at UCLA, Ronald Reagan UCLA Medical Center, 757 Westwood Plaza, Suite 8501, Los Angeles, CA 90095, USA. Tel: +1 310 267 9610; e-mail: jdinorcia@mednet.ucla.edu

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