Outcome of right hepatectomy for living liver donors: a single Egyptian center experience.

Autor: Salah T; Gatrointestinal Surgery and Liver Transplantation Unit, Gastroenterology Surgical Center, Mansoura University, Gehan Street, Mansoura, Egypt., Sultan AM, Fathy OM, Elshobary MM, Elghawalby NA, Sultan A, Yassen AM, Elsarraf WM, Elmorshedi M, Elsaadany MF, Shiha UA, Wahab MA
Jazyk: angličtina
Zdroj: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract [J Gastrointest Surg] 2012 Jun; Vol. 16 (6), pp. 1181-8. Date of Electronic Publication: 2012 Feb 28.
DOI: 10.1007/s11605-012-1851-4
Abstrakt: Background: This study aims to evaluate living liver donor outcome after right hepatectomy in a single Egyptian center.
Patients and Methods: Between April 2004 and July 2010, 100 living donors underwent right hepatectomy. Their medical records and postoperative follow-up visits were retrospectively revised. Perioperative complications were reported. Postoperative complications were classified according to the five tier version of Clavien system.
Results: There were 71 males and 29 females. The mean age was 27.6 ± 7.4 years. The mean graft weight was 999 ± 167 g and the mean volume percent of the remaining liver was 36.8 ± 8%. The mean ICU and hospital stay were 2.6 ± 2.7 and 12.4 ± 9.1, respectively. A total of 57 complications developed in 38 donors (38%). The commonest complication type was biliary complications. There were 22 grade I, 6 grade II, 15 grade IIIa, 12 grade IIIb, 1 grade IVa, and 1 grade V complications. One donor died due to posttransfusion ARDS on the 30th postoperative day. On follow-up, no donor developed long lasting disability. A donor died in a road traffic accident 1 year after donation.
Discussion and Conclusions: Donor right hepatectomy is not an entirely safe procedure. Biliary complications are the commonest early postoperative complications.
Databáze: MEDLINE
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