Liver transplant: survival in the Carlos Andrade Marín Hospital from May 2016 to December 2019 (in Spanish)

Abstract

INTRODUCTION. The first Liver Transplantation in the world was performed in the United States in 1963 by Thomas Starzl, until the 90s the survival at one year and at 5 years was 73% and 64% respectively, according to the different series that covered more than 1000 transplants performed until 1989. The Liver Transplant Program at the Carlos Andrade Marín Specialty Hospital began in May 2016, 62 were performed in 43 months. OBJECTIVE. Know the survival of patients undergoing Liver Transplantation. MATERIALS AND METHODS. Observational study, a population of 62 patients undergoing liver transplantation at the Hospital de Especialidades Carlos Andrade Marín in the city of Quito-Ecuador was taken as inclusion criteria, with follow-up for 43 months, with an analysis of the survival of the patients transplanted using Kaplan Meyer as a statistical platform. RESULTS. Survival at 12 months 72% (17; 62) and at 43 months 69% (19; 62). DISCUSSION. Currently, survival in programs worldwide is 95% at 1 year and 75 to 85% at 5 years in centers with large volume and experience. In young centers with less than 5 years of age and with a high demand for patients, the programs require many procedures to be performed without neglecting the results. CONCLUSIONS. The development of liver transplantation in young centers goes hand in hand with a large volume and within the results curve, improve survival with factors that have a direct impact on them, such as good selection of donors and recipients.