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Invited Commentary
November 2015

Saving Supersick Patients Undergoing Liver Transplant

Author Affiliations
  • 1Department of Surgery, Stanford University, Palo Alto, California

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Surg. 2015;150(11):1073. doi:10.1001/jamasurg.2015.1881

In this issue of JAMA Surgery, DiNorcia et al1 suggest that damage control (DC) strategies adopted from the trauma experience can also be applied to hypothermic, coagulopathic, and/or hemodynamically unstable patients undergoing liver transplant. In this single-center, 10-year experience, 150 liver transplant recipients (8.3%) underwent intra-abdominal packing and delayed biliary reconstruction after reperfusion with the intent to complete the biliary reconstruction and close the abdomen within 48 hours.

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