Liver Transplantation

The liver transplant department primarily admits patients with end-stage liver disease, acute liver failure, and some hepatocellular carcinomas who meet the transplant criteria. Key areas of care include etiological assessment, stratification of liver function and complications, determination of transplant timing, perioperative management, and long-term immunosuppressive therapy. For decompensated cirrhosis, refractory ascites, recurrent hepatic encephalopathy, variceal bleeding, and hepatocellular carcinoma meeting the criteria, liver transplantation can significantly improve survival, but a comprehensive assessment of cardiopulmonary and renal function, infection status, and tumor biological behavior is necessary. Common postoperative problems include rejection, biliary complications, vascular complications, infection recurrence, and metabolic syndrome. The benefits of transplantation may be limited if active infection, extrahepatic metastasis, severe cardiopulmonary disease, or poor compliance are present. Long-term management requires monitoring of liver function, drug concentrations, renal function, bone mineral density, blood pressure, blood glucose, blood lipids, and tumor recurrence.