Abstract
Chronic long-term plasma exchange treatment has been safely carried out in two cases with postoperative biliary cirrhosis. Of 4 cirrhotic patients who acutely fell into hepatic failure postoperatively, only one could survive. Of. 7 patients without cirrhosis, 3 who did not have any complications could survive. In patients alive, increases of serum bilirubin after surgery were gradual and the abnormality of plasma amino acids before treatment were moderate, compared with those in patients died.
In postoperative liver failure, not only plasma exchange but combined modality therapy for in fection must be necessary.
