KẾT QUẢ BƯỚC ĐẦU GHÉP GAN KINH ĐIỂN TỪ NGƯỜI CHO CHẾT NÃO TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To evaluate the technical characteristics and initial results of conventional liver transplantation from brain-dead donors performed at Viet Duc Hospital. Method: Prospective study, all patients who underwent liver transplantation from brain-dead donors, using conventional techniques from October 2024 to April 2025 at Viet Duc University Hospital. Results: There were 17 patients in the study, average age 52,5±10,4 mainly male 82,4%, history of hepatitis B accounted for 58,8%. Indications for liver transplantation included hepatocellular carcinoma (HCC) 41,2%, acute on chronic liver disease (ACLF) 29,4% and cirrhosis 29,4%. Preoperative liver function was almost Child B and C 71%. Warm ischemia time and total operative time were 24.76 ± 5.04 and 366.5 ± 59.9 minutes, respectively. Common hepatic artery - proper hepatic artery anastomosis accounted for 70,6%, end-to-end biliary anastomosis accounted for 94,1%, post-reperfusion syndrome occurred in 17,6%. There were no cases requiring bypass due to hemodynamic instability during tthe operation. The most common postoperative complication was infection accounting for 29,4%, while surgical complications occurred in 2 cases (11,8%). There was 1 case of death (5,9%) and 1 case of grade 4 complication (5,9%). Conclusion: The classic liver transplantation technique from a brain-dead donor can be performed safely with a low complication rate, helping to reduce operative time, warm ischemia time, and blood loss.