Korean J Transplant.  2023 Nov;37(Suppl 1):S305. 10.4285/ATW2023.F-9149.

Super-fast-track discharge of liver transplant recipients

Affiliations
  • 1Department of Liver Transplantation and Hepatobiliary Surgery, King George's Medical University (KGMU), Lucknow, India

Abstract

Infectious complications are the leading cause of morbidity and mortality after liver transplantation (LT) in our region, especially hospital-borne infections. Furthermore, a lack of medical insurance adds a tremendous financial burden when these patients stay is prolonged for the management of multiple complications. Enhanced recovery after surgery has enabled fast-track LT at many centers around the world. We, therefore, changed our transplant protocols for selected patients and applied a super-fast-track pathway (preoperation to discharge). Our patients were discharged at 5.5±1.6 days after LT on average. All are alive, are receiving regular follow-up, and have not experienced any complications until the time of writing this report. We therefore briefly present our super-fast-track discharge protocol. Nine blood group-compatible liver transplants were done between October 2021 and August 2022. Among them, three were living-donor LT and six were deceased-donor LT.

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