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Fifty liver transplants: a single centre experience of haemodynamic management in liver transplantation for cirrhosis [part 1]

Authors:

B. Gunetilleke ,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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R. Ranamuni,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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D. Jayaweera,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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N. Welikala,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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V. Kerner,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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N. Munasinghe,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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R. Withanage,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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N. Wickremasinghe,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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S. Hewage,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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N. Wijesuriya,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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U. Rodrigo,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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A. Mudalige,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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M. Fernando,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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D. Hettiarachchi,

University of Colombo, LK
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J. Dissanayake,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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M. Niriella,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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A. Dassanayake,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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S. Thilakaratne,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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J. De Silva,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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R. Siriwardana,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya, LK
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R. WIjesuriya,

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya
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C. Liyanage

Colombo North Center for Liver Disease (CNCLD), Faculty of Medicine, University of Kelaniya
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Abstract

Cirrhosis with end stage liver disease (ESLD) is a leading cause of non-communicable disease related deaths in Sri Lanka. Liver transplantation is the only curative treatment for patients with ESLD. The complex multisystem involvement and unique cardiovascular profile characteristic of ESLD present formidable challenges during liver transplantation. Management of the rapid and varied hemodynamic changes during surgery requires an in depth understanding of the physiological effects of each intervention. Based on the current literature and the experience gained at our center during the management of 50 liver transplants, we present optimization strategies and perioperative hemodynamic interventions which we use to ‘Fast track’ recovery following liver transplantation. 

How to Cite: Gunetilleke B, Ranamuni R, Jayaweera D, Welikala N, Kerner V, Munasinghe N, et al.. Fifty liver transplants: a single centre experience of haemodynamic management in liver transplantation for cirrhosis [part 1]. Sri Lanka Journal of Surgery. 2021;39(2):63–7.
Published on 31 Jul 2021.
Peer Reviewed

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