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  • Title: Orthotopic liver transplantation in the management of end stage liver disease: the University of Vienna experience.
    Author: Mirza DF, Goetzinger P, Fuegger R, Wamser P, Steininger R, Muehlbacher F.
    Journal: Indian J Gastroenterol; 1991 Jul; 10(3):92-5. PubMed ID: 1655646.
    Abstract:
    Two hundred and eight orthotopic liver transplantations (OLT) were performed in 191 patients at the I Department of Surgery, University of Vienna from 1982-1990. The most frequent indications were hepatocellular carcinoma, alcoholic cirrhosis, posthepatic cirrhosis, primary biliary cirrhosis, and fulminant hepatic failure. Patients with malignancy constituted 33.8% of cases. The overall results showed a 64% one-year and 58% two-year survival; best results were seen in patients with primary biliary cirrhosis and the poorest long-term results were in malignancy. There were 23 postoperative deaths (11%). Primary non-function was seen in 14 (7%) cases; acute rejection episodes were seen in 62% of patients. The presence of a well organised cadaver organ procurement system in eastern Austria with upto 41 donors per million population per year ensures that the 57% growth rate in OLT achieved in 1990 will be maintained with even better results.
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