dc.contributor.author
Wiering, Leke
dc.contributor.author
Sponholz, Felix
dc.contributor.author
Brandl, Andreas
dc.contributor.author
Dziodzio, Tomasz
dc.contributor.author
Jara, Maximilian
dc.contributor.author
Dargie, Richard
dc.contributor.author
Eurich, Dennis
dc.contributor.author
Schmelzle, Moritz
dc.contributor.author
Sauer, Igor M.
dc.contributor.author
Aigner, Felix
dc.contributor.author
Kotsch, Katja
dc.contributor.author
Pratschke, Johann
dc.contributor.author
Öllinger, Robert
dc.contributor.author
Ritschl, Paul Viktor
dc.date.accessioned
2020-01-21T13:06:41Z
dc.date.available
2020-01-21T13:06:41Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/26483
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-26243
dc.description.abstract
BACKGROUND Pleural effusions represent a common complication after liver transplantation (LT) and chest drain (CD) placement is frequently necessary. MATERIAL AND METHODS In this retrospective cohort study, adult LT recipients between 2009 and 2016 were analyzed for pleural effusion formation and its treatment within the first 10 postoperative days. The aim of the study was to compare different settings of CD placement with regard to intervention-related complications. RESULTS Overall, 597 patients met the inclusion criteria, of which 361 patients (60.5%) received at least 1 CD within the study period. Patients with a MELD >25 were more frequently affected (75.7% versus 56.0%, P<0.001). Typically, CDs were placed in the intensive care unit (ICU) (66.8%) or in the operating room (14.1% during LT, 11.5% in the context of reoperations). In total, 97.0% of the patients received a right-sided CD, presumably caused by local irritations. Approximately one-third (35.4%) of ICU-patients required pre-interventional optimization of coagulation. Of the 361 patients receiving a CD, 15 patients (4.2%) suffered a post-interventional hemorrhage and 6 patients (1.4%) had a pneumothorax requiring further treatment. Less complications were observed when the CD was performed in the operating room compared to the ICU: 1 out 127 patients (0.8%) versus 20 out of 332 patients (6.0%); P=0.016. CONCLUSIONS CD placement occurring in the operating room was associated with fewer complications in contrast to placement occurring in the ICU. Planned CD placement in the course of surgery might be favorable in high-risk patients.
en
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
Liver Transplantation
en
dc.subject
Pleural Effusion
en
dc.subject
Postoperative Complications
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Perioperative Pleural Drainage in Liver Transplantation: A Retrospective Analysis from a High-Volume Liver Transplant Center
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
e918456
dcterms.bibliographicCitation.doi
10.12659/AOT.918456
dcterms.bibliographicCitation.journaltitle
Annals of Transplantation
dcterms.bibliographicCitation.originalpublishername
International Scientific Information
dcterms.bibliographicCitation.volume
25
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
31949125
dcterms.isPartOf.eissn
2329-0358