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April 1986

The Boston Center for Liver Transplantation (BCLT): Initial Experience of a New Surgical Consortium

Author Affiliations

From the Department of Surgery, Harvard Medical School and New England Deaconess Hospital, Boston.

Arch Surg. 1986;121(4):424-430. doi:10.1001/archsurg.1986.01400040060009

• Improved survival following liver transplantation has led to a rapid increase in the number of centers providing this expensive and demanding therapy. In January 1984, four Boston hospitals launched a cooperative program known as the Boston Center for Liver Transplantation (BCLT). From January 1984 through July 1985, 47 liver transplantations were performed in 41 patients ranging in age from 8 months to 60 years. Donor organs were retrieved from 22 states within a 2,500-mile radius. Thirty-five of the 47 procedures were performed by teams consisting of surgeons from at least two BCLT member hospitals. Twelve-month actuarial survival was 54.1% without significant institutional variability. The BCLT has developed into a unique transplant consortium capable of sharing manpower, equipment, and organs without sacrificing quality of care or disrupting preexisting medical services.

(Arch Surg 1986;121:424-430)

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