Langenbeck's archives of surgery
-
Langenbecks Arch Surg · Mar 2009
Multicenter StudyAdult living donor liver transplantation: body mass index and MELD score of recipients are independent risk factors for hospital mortality.
Adult living donor liver transplantation (LDLT) has been established as elective procedure or urgent procedure to save the life of patients with terminal liver diseases. The outcome of LDLT varies between transplant centers. Here, we aim to evaluate the outcome of LDLT in our center and to identify the risk factors that are associated with hospital mortality of recipients. ⋯ Adult living donor liver transplantation should be reserved to less "sick" patients in the era of organ allocation based on MELD score.
-
Langenbecks Arch Surg · Mar 2009
Multicenter StudyDirect hemoperfusion with polymyxin-B-immobilized fiber columns improves septic hypotension and reduces inflammatory mediators in septic patients with colorectal perforation.
Although some studies have reported favorable effects of direct hemoperfusion with polymyxin-B-immobilized fiber columns (PMX) for the treatment of septic shock, few studies have demonstrated the efficacy of PMX in studies with a uniform case definition and without any other blood purification techniques. ⋯ Our findings suggested that PMX treatment appears to adsorb endotoxin and also modulates circulating cytokine during a 2-h interval of direct hemoperfusion in septic patients with such condition.