Effects of Peroperative Cold Ischemia Time and Anhepatic Phase in Adult Living Donor Liver Transplant Recipients: Operation Time That Is Not Affected by the Anhepatic Phase but Is Prolonged by Cold Ischemia Time

Abstract

Objective. It was aimed to examine the overall role of cold ischemia time and anhepatic phase durations in terms of peroperative blood transfusion needs, hospital stay conditions and postoperative charges, and survival in recipients. Material and Methods. One hundred forty-eight adult living donor liver transplant recipients (18 years and older) were included in the study. Whether the anhepatic phase and cold ischemia duration have an effect on the rates of surgery time, blood product transfusion, total hospital and intensive care unit stay, postoperative biliary complications, hepatic vein thrombosis, portal vein thrombosis, early postoperative bleeding, sepsis, and primary graft dysfunction. Was analyzed statistically. In addition, the effect of the anhepatic phase and cold ischemia time on graft survival was statistically examined by creating an average of the patient follow-up period. Results. It was observed that the operation time increased statistically as the cold ischemia time increased (P P = .000). No statistically significant fi cant relationship was found between other fi nd- ings and cold ischemia time and anhepatic phase. Conclusion. Prolonged surgery time due to increased cold ischemia time may be an important fi nding in terms of peroperative and postoperative results of the graft.