Liver Transplantation
Conditions
Keywords
liver transplantation, LT, hepatocellular carcinoma (HCC), Arterial and Biliary Complication-Free Survival, procurement technique
Brief summary
Liver transplantation (LT) is the standard treatment for hepatocellular carcinoma (HCC) and end-stage liver disease, with excellent long-term outcomes despite the increasing use of extended criteria donors due to organ shortage. As traditional evaluation criteria have become insufficient, new indicators such as Arterial and Biliary Complication-Free Survival (ABCFS) have been developed to better assess post-transplant outcomes. Primary objective: To assess, in a large-scale study, whether the procurement technique influences liver transplantation outcomes in terms of arterial and biliary complication-free survival.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients aged 18 years or older at the time of inclusion 2. Listed on the national waiting list of the Agence de la Biomédecine (ABM) 3. Undergoing a first liver transplantation in France 4. Receiving a whole liver graft 5. No prior or subsequent transplantation of another organ
Exclusion criteria
1. Pancreas procurement 2. Multiorgan transplantation 3. Split liver transplantation (shared grafts) 4. Retransplantation 5. Domino transplantation (no actual organ procurement in the conventional sense) 6. Patient refusal to allow the use of their data
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arterial and Biliary Complication-Free Survival (ABCFS) at 3 years | at 3 years post-transplantation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications at 90 days | at 90 days post-transplantation | — |
| Type of Biliary complications | Up to 3 years post-transplantation | — |
| Type of Arterial complications | Up to 3 years post-transplantation | — |
| Occurrence of vascular injuries observed following organ procurement | Peri-procedural period (during procurement and immediately post-procurement) | — |
| Rehospitalization Rate Post-LT | Up to 3 years post-transplantation | Number of rehospitalizations per patient occurring after the initial transplantation hospitalization. |
| Duration of Rehospitalizations Post-LT | Up to 3 years post-transplantation | Length of stay for each rehospitalization occurring after the initial transplantation hospitalization. |
| Reasons for Rehospitalizations Post-LT | Up to 3 years post-transplantation | Reason for each rehospitalization occurring after the initial transplantation hospitalization, categorized by diagnosis. |
Contacts
Saint Eloi Hospital, Montpellier University Hospital