Live Donor Partial Hepatectomy for Liver Transplantation: Is There a Learning Curve?

Autor: R. F. Saidi, N. Elias, D. S. Ko, T. Kawai, J. Markmann, S. Feng, A. B. Cosimi, M. Hertl
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: International Journal of Organ Transplantation Medicine, Vol 1, Iss 3, Pp 125-130 (2010)
Druh dokumentu: article
ISSN: 2008-6490
2008-6482
Popis: Background: Donor safety is the first priority in living donor liver transplantation (LDLT).Objective: To determine the characteristics and outcome of live liver donors who underwent donor hepatectomyfrom January, 1997 to May, 2007 at Massachusetts General Hospital.Methods: 30 patients underwent LDLT between January, 1997 and May, 2007 at our institution.Results: The type of graft was the right lobe (segments 5-8) in 14, left lobe (segments 2-4) in 4, and left lateralsector (segments 2 and 3) in 12 patients. The mean donor age was 36 (range: 26-57) years. The mean follow-up was 48 (range: 18-120) months. No deaths occurred. Overall, 8 (26.6%) patients experienced a total of 14 post-operative complications. Donor complications based on graft type were as follows: left lateralsector (16.7%), left lobe (25%), and right lobe (35.7%). The experience was divided into two periods 1997-2001 (n=15) and 2002-2007 (n=15). Overall complications during 2 periods were 40% and 13.3%, respectively (p
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