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

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.