Copyright
©The Author(s) 2022.
World J Transplant. Nov 18, 2022; 12(11): 359-364
Published online Nov 18, 2022. doi: 10.5500/wjt.v12.i11.359
Published online Nov 18, 2022. doi: 10.5500/wjt.v12.i11.359
Timing of complication | Type of complication | Prevention measures |
Intraoperative | Pneumothorax | High level of suspicion |
Cautious OT intubation | ||
CVC placement under echography guidance | ||
Low airway pressures during mechanic ventilation | ||
Closure of diaphragmatic defects encountered during LTx | ||
Early postoperative | Pleural effusion | Correction of hypoproteinemia |
Limited perioperative blood transfusions | ||
Proper surgical technique | ||
Preventive chest tube placement | ||
Pneumothorax | Echographic guidance for percutaneous pleural procedures | |
Hemothorax | Correction of coagulopathy | |
Echographic guidance for percutaneous pleural procedures | ||
Proper surgical technique during LTx | ||
Atelectasis | Pain management | |
Chest physiotherapy | ||
Drainage of pleural effusions | ||
Chest tube misplacement | Proper surgical technique | |
Re-expansion pulmonary edema | Staged evacuation of massive pleural effusions | |
Bacterial pneumonia | Chest physiotherapy | |
Early extubation and weaning from mechanical ventilation | ||
Prevention and treatment of atelectasis | ||
Pleural empyema | Drainage of parapneumonic pleural effusions | |
Mid-term and chronic | Opportunistic infections causing lung necrosis and cavitation | Proper prophylaxis |
Invasive aspergillosis | High clinical suspicion | |
Prompt imaging (CT scan) | ||
Diaphragmatic herniation | Proper surgical technique during LTx | |
Trapped lung | Prompt treatment of pleural effusion before chronicity | |
Radical treatment of pleural empyema |
- Citation: Agrafiotis AC, Karakasi KE, Poras M, Neiros S, Vasileiadou S, Katsanos G. Surgical chest complications after liver transplantation. World J Transplant 2022; 12(11): 359-364
- URL: https://www.wjgnet.com/2220-3230/full/v12/i11/359.htm
- DOI: https://dx.doi.org/10.5500/wjt.v12.i11.359