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Tuesday, 3 December 2013

Cirrhosis Surgery

Cirrhosis is defined as a condition of irreversible scarring liver as a result of liver tissue by fibrosis due to final phase of chronic liver diseases of that can lead to poor function of the liver and liver failure. According to the statistics, Number of discharges with chronic liver disease or cirrhosis as the first-listed diagnosis: 101,000 in 2009 and Deaths per 100,000 population: 10.3 in 2010(a). Hepatitis B infection cause of the disease is very prevalent in South-East Asia.
Treatments in Conventional Medicine
A.3. Surgery
Liver transplant may be the best choice for some patients with chronic liver cirrhosis as it has been proven to improve the chances of long-term survival.
The main advantage of LDLT is the availability of an organ in the elective setting in the course of a progressive liver disease. This is most applicable in patients with Cirrhosis and Hepatocellular carcinoma. LDLT, from the donor's perspective does carry a risk of not only morbidity but mortality.  To date the surgical mortality risk is estimated at 0.1% for left lateral donation and 0.5% for right liver donation. There are reports of complications like Hepatic artery thrombosis, portal vein thrombosis and especially biliary leaks and strictures occurring at a significantly increased frequency after living as compared to deceased donor liver transplantation(102).
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Sources
(a) http://www.cdc.gov/nchs/fastats/liverdis.htm

(102) http://www.ncbi.nlm.nih.gov/pubmed/23372315