Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2020; 12(8): 336-345
Published online Aug 27, 2020. doi: 10.4240/wjgs.v12.i8.336
Influence of postoperative complications on long-term survival in liver transplant patients
Sonia Castanedo, Enrique Toledo, Roberto Fernández-Santiago, Federico Castillo, Juan Echeverri, Juan Carlos Rodríguez-Sanjuán
Sonia Castanedo, Enrique Toledo, Roberto Fernández-Santiago, Federico Castillo, Juan Echeverri, Juan Carlos Rodríguez-Sanjuán, Department of General Surgery, University Hospital Marqués de Valdecilla, University of Cantabria, Santander 39008, Spain
Author contributions: Rodríguez-Sanjuán JC, Fernández-Santiago R and Castillo F designed the research study; Castanedo S, Toledo E and Echeverri J acquired and analyzed the data; Rodríguez-Sanjuán JC, Castanedo S and Toledo E wrote the manuscript; all authors have read and approve the final manuscript.
Institutional review board statement: The manuscript was approved by University Hospital Marqués de Valdecilla Ethical Committee.
Informed consent statement: Consent was not obtained but the presented data are anonymized and risk of identification is low.
Conflict-of-interest statement: The authors declare no conflict of interests.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at juancarlos.rodriguezs@scsalud.es.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Juan Carlos Rodríguez-Sanjuán, MD, PhD, Professor, Department of General Surgery, University Hospital Marqués de Valdecilla, University of Cantabria, Avenida de Valdecilla S/N, Santander 39008, Spain. juancarlos.rodriguezs@scsalud.es
Received: March 5, 2020
Peer-review started: February 29, 2020
First decision: May 24, 2020
Revised: June 12, 2020
Accepted: August 1, 2020
Article in press: August 1, 2020
Published online: August 27, 2020
Core Tip

Core tip: It is not known whether postoperative complications after liver transplant (LT) are associated with poorer long-term survival. The objective of the present study is therefore to analyse the possible influence of postoperative complications on the long-term survival of LT patients. A retrospective study of 164 LT patients was conducted, analysing complications and grading them by means of the Clavien classification and the comprehensive complication index (CCI). We found that a complicated postoperative period – well-defined by means of the CCI score – can influence not only short-term survival, but also long-term survival.