Outcome of right hepatectomy for living liver donors: a single Egyptian center experience
| Autor: | Amr M. Yassen, M. Abdel Wahab, Nabieh A El-Ghawalby, Ahmed Sultan, Mohammed F. Elsaadany, Mohammed Elmorshedi, Omar Fathy, Walid M. R. Elsarraf, Tarek Salah, Ahmad M. Sultan, Usama Shiha, Elshobary M |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Treatment outcome Liver transplantation Young Adult Postoperative Complications parasitic diseases medicine Living Donors Hepatectomy Humans Retrospective Studies business.industry General surgery Gastroenterology Follow up studies Retrospective cohort study Middle Aged humanities Surgery Liver Transplantation Treatment Outcome Liver donors Tissue and Organ Harvesting Egypt Female Morbidity business Living donor liver transplantation Follow-Up Studies |
| Zdroj: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 16(6) |
| ISSN: | 1873-4626 |
| Popis: | This study aims to evaluate living liver donor outcome after right hepatectomy in a single Egyptian center.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.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.Donor right hepatectomy is not an entirely safe procedure. Biliary complications are the commonest early postoperative complications. |
| Databáze: | OpenAIRE |
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