Person:
Caso Maestro, Óscar

Profile Picture
First Name
Óscar
Last Name
Caso Maestro
URI
https://hdl.handle.net/20.500.14352/79164
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Medicina
Department
Cirugía
Area
Cirugía
Identifiers
UCM identifierScopus Author IDDialnet ID

Filters

2017 - 20202
Reset filters

Settings

Has files: true × Subject: 611.36 ×

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Octogenarian liver grafts reaching centennial age after transplantation
    (Transplantation, 2017) Jiménez Romero, Luis Carlos; Caso Maestro, Óscar; Cambra Molero, Félix; Manrique Municio, Alejandro; Calvo Pulido, Jorge; Marcacuzco Quinto, Alberto Alejandro; Justo Alonso, Iago
  • Thumbnail Image
    Item
    Biliary Complications After Liver Transplantation From Uncontrolled Donors After Circulatory Death: Incidence, Management, and Outcome
    (Liver Transplantation, 2020) Jiménez Romero, Luis Carlos; Manrique Municio, Alejandro; García Conde, María; Nutu, Anisa; Calvo Pulido, Jorge; Caso Maestro, Óscar; Marcacuzco Quinto, Alberto Alejandro; García-Sesma Pérez-Fuentes, Álvaro; Álvaro, Edurne; Villar, Roberto; Aguado García, José María; Conde, María; Justo Alonso, Iago
    The utilization of livers from donation after uncontrolled circulatory death (uDCD) increases the availability of liver grafts, but it is associated with a higher incidence of biliary complications (BCs) and lower graft survival than those organs donated after brain death. From January 2006 to December 2016, we performed 75 orthotopic liver transplantations (OLTs) using uDCD livers. To investigate the relationship of BCs with the use of uDCD OLT, we compared patients who developed BCs (23 patients) with those who did not (non-BC group, 43 patients) after excluding cases of hepatic artery thrombosis (a known cause of BC) and primary nonfunction. The groups had similar uDCD donor maintenance, donor and recipient characteristics, and perioperative morbidity/mortality rates, but we observed a higher rate of hepatocellular carcinoma and hepatitis C virus in the non-BC group. Percutaneous transhepatic biliary dilation, endoscopic retrograde cholangiopancreatography dilation, Roux-en-Y hepaticojejunostomy (HJ), a T-tube, and retransplantation were used for BC management. In the BC group, 1-, 3-, and 5-year patient survival rates were 91.3%, 69.6%, and 65.2%, respectively, versus 77.8%, 72.9%, and 72.9%, respectively, in the non-BC group (P = 0.89). However, 1-, 3-, and 5-year graft survival rates were 78.3%, 60.9%, and 56.5%, respectively, in the BC group versus 77.8%, 72.9%, and 72.9%, respectively, in the non-BC group (P = 0.38). Multivariate analysis did not indicate independent risk factors for BC development. In conclusion, patient and graft survival rates were generally lower in patients who developed BCs but not significantly so. These complications were managed in the majority of patients through radiological dilation, endoscopic dilation, or Roux-en-Y HJ. Retransplantation is necessary in rare cases after the failure of biliary dilation or surgical procedures.