Donor safety in adult living donor liver transplantation using the right lobe: Single center experience in China
| Autor: | Yong Zeng, Lu-Nan Yan, X.-Z. Jiang, Jia-Yin Yang, Bin Liu, F.-G. Li, Qi-Yuan Lin |
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| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty China Time Factors Adolescent medicine.medical_treatment Aspartate Aminotransferases Liver transplantation Single Center Donor Selection Postoperative Complications medicine Living Donors Hepatectomy Humans Retrospective Studies business.industry Donor selection Gastroenterology Alanine Transaminase General Medicine Length of Stay Middle Aged Lobe Surgery Liver Transplantation medicine.anatomical_structure Tomography x ray computed surgical procedures operative Liver Female Living donor liver transplantation business Tomography X-Ray Computed Rapid Communication Follow-Up Studies |
| Popis: | To evaluate the safety of donors in adult living donor liver transplantation (LDLT) using the right lobe in a single liver transplantation center in China.We investigated retrospectively 52 living donor liver resections performed from October 2003 to July 2006. All patients were evaluated by blood tests and abdominal CT. The mean donor age was 28.2 +/- 7.4 years. Residual liver volume was 42.1% +/- 4.7%. Mean operative time was 420 +/- 76.2 min; mean ICU stay, less than 36 h; mean hospital stay, 16.4 +/- 8.6 d; and mean follow-up period, 6 mo.There was no mortality. The overall complication rate was 40% (21 donors). Major complications included biliary leak in two, and pneumonia in 2 donors. Minor complications included mild pleural effusion in 12 donors, transient ascites in 6, mild depression in 4, intra-abdominal collections in 2, and wound infections in 1 donor. Residual liver volume did not affect the complication rate. None required re-operation. Return to pre-donation activity occurred within 5-8 wk.Right hemi-hepatectomy can be performed safely with minimal risk in cases of careful donor selection. Major complications occurred in only 7.7% of our series. |
| Databáze: | OpenAIRE |
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