Liver Transplantation
Conditions
Brief summary
The objective of this observational study is to compare the safety profile of auxiliary liver transplantation using small-for-size grafts with that of conventional liver transplantation and to evaluate the efficacy of this technique. The primary research question it seeks to investigate is: "What are the differences in safety and efficacy between auxiliary liver transplantation utilizing small-for-size grafts and conventional liver transplantation for the treatment of portal hypertension?"
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \> 14 years. 2. Presence of decompensated portal hypertension. 3. Meeting the indications for liver transplantation surgery. 4. International Normalized Ratio (INR) \< 2.4. 5. Scheduled to undergo orthotopic auxiliary partial liver transplantation or conventional liver transplantation.
Exclusion criteria
1. Rare liver-related anatomical variations. 2. Presence of contraindications to liver transplantation combined with malignant tumors. 3. Grade III or higher portal vein thrombosis. 4. Severe systemic diseases unrelated to the etiology or complications of portal hypertension. 5. Special surgical procedures such as dual-graft liver transplantation. 6. Special graft sources including domino liver transplantation. 7. Liver re-transplantation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival | Within one year after liver transplantation |
| Complications | Within one year after liver transplantation |
| portal hypertension resolution | Within one year after liver transplantation |