Research Article
Initiation of Liver Transplant in Nepal: A Milestone
Table 1
Patient’s demographics and perioperative data.
| Variables | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 |
| Recipient’s age (years) | 36 | 57 | 43 | 51 | 63 | Recipient’s sex | Male | Male | Male | Male | Male | Recipient’s weight | 62 | 65 | 50 | 54 | 53 | Recipient’s blood group | O positive | O positive | A positive | B positive | O positive | Recipient’s medical illness leading to ESLD | Alcoholic liver disease | Alcoholic liver disease | Cryptogenic liver disease | Alcoholic liver disease | Nonalcohol steatohepatitis | Child-Turcotte-Pugh (CTP) score | B | B | B | C | B | Model for end-stage liver disease (MELD) score | 23 | 24 | 24 | 26 | 34 | Graft-to-recipient weight ratio (GRWR) | 1.05 | 1.1 | 1.1 | — | 1.3 | Donor age (years) | 41 | 24 | 39 | 38 | 35 | Donor sex | Female | Female | Female | Male | Male | Donor type | Live | Live | Live | Brain-dead | Live | Relationship to recipient | Sister | Daughter | Wife | Brain-dead donor | Son | Donor blood group | O positive | B positive | O positive | O negative | O positive | Cold ischemia time (mins) | 85 | 22 | 82 | 660 | 84 | Second warm ischemia time surgery (mins) | 35 | 31 | 36 | 55 | 37 | Venous anastomosis | d RHV to r RHV | d RIHV to r RHV | d RHV to r RHV Neo MHV to r MHV opening | d IVC to r IVC | d RHV to r RHV Neo MHV to r MHV opening | Portal anastomosis | d RPV to r RPV | d RAPS/RPPS to r MPV | d RPV to r MPV | d MPV to r MPV | d RPV to r MPV | Arterial anastomosis | d CHA to r RHA | d RHA to r LHA | d CHA to r RHA | d CHA to r RHA | d CHA to r LHA | Duct anastomosis | d RHD/LHD made single CHD to CBD | d RHD to CHD | RHD to CHD | d CHD to CHD | d RHD to CHD | Induction therapy | ATG and MP | — | — | — | — | Maintenance therapy | Tac, MM, steroid | Tac, MM, steroid | Tac, MM, steroid | Tac, MM, steroid | Tac, MM, steroid |
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d: donor; r: recipient; RHV: right hepatic vein; RIHV: right inferior hepatic vein; MHV: middle hepatic vein; RPV: right portal vein; MPV: main portal vein; RAPS: right anterior portal system; RPPS: right posterior portal system; CHA: common hepatic artery; RHA: right hepatic artery; LHA: left hepatic artery; RHD: right hepatic duct; LHD: left hepatic duct; CBD: common bile duct; ATG: antithymocyte globulin; MP: methylprednisolone; Tac: tacrolimus; MM: mycophenolate mofetil.
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