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July 1980

Decline in Survival After Liver Transplantation

Author Affiliations

From the Department of Surgery, Veterans Administration Hospital Medical Center; the University of Colorado Health Sciences Center, Denver (Drs Starzl, Koep, Schroter, Weil, Halgrimson); and the Department of Pathology, St Mary's Hospital Medical School, London (Drs Porter, Hartley).

Arch Surg. 1980;115(7):815-819. doi:10.1001/archsurg.1980.01380070009002

• Twenty-three recent cases of orthotopic liver transplantation were individually reviewed in an effort to determine why survival had declined from the 50% one-year survival rate of an immediately precedent series. In the series of 23, only six (26%) achieved one-year survival. Faulty case selection, technical complications, the use of damaged organs, and complications of immunosuppression were the main causes of death. Attention was directed to the possible use of preoperative lymphoid depletion to improve the effectiveness and safety of immunosuppression.

(Arch Surg 115:815-819, 1980)

Starzl TE, Koep LJ, Halgrimson CG, et al:  Fifteen years of clinical liver transplantation . Gastroenterology 77:375-388, 1979.
Starzl TE, Weil R III, Koep LJ, et al:  Thoracic duct fistula and renal transplantation . Ann Surg 190:474-486, 1979.Article
Calne RY, Williams R:  Liver transplantation . Curr Probl Surg 16( (1) ):3-44, 1979.Article
Starzl TE, Weil R III, Koep LJ, et al:  Thoracic duct drainage before and after cadaveric kidney transplantation . Surg Gynecol Obstet 149:815-821, 1979.