ISSN: 1859 - 2872
Evaluation of early results in right donor hepatectomy for living donor liver transplantation
Main Article Content
Keywords
Abstract
Objective: To evaluate the early results in donor right hepatectomy for living donor liver transplantation in 108 Military Central Hospital. Subject and method: Retrospective study of 127 donors cases who underwent right hepatectomy from October 2017 to June 2022 at 108 Military Central Hospital. Result: The average age was 56.2 ± 12 years, and 80.3% of the donor were male. The remnant left liver volume: 37.86 ± 4.28%, right liver resection with middle hepatic vein accounted for the majority with 56.7%, graft size: 660.7 ± 107.9g, operative time: 281.3 ± 50.0 minutes, blood loss: 313.7 ± 169.2ml. There was no donor mortality, and the overall morbidity rate was 7.9%. Most of the complications of donors were either grade II or III, and biliary complications were the most common complications, with an incidence of 4.7%. The percentage of left liver volume increased after 7 days: 64.68 ± 23.1% and the average length of hospital stay was 11.2 ± 3.0 days. Conclusion: With careful donor selection, right donor hepatectomy for living donor liver transplantation gives good results with a low complication rate.
Article Details
References
2. Lee JG, Lee KW, Kwon CH et al (2017) Donor safety in living donor liver transplantation: The Korean organ transplantation registry study. Liver Transplantation 23(8): 999-1006.
3. Akamatsu N, Kokudo N (2016) Living Liver donor delection and resection at the University of Tokyo Hospital. Transplantation Proceedings 48: 998-1002.
4. Kim SJ, Na GH, Choi HJ, Yoo YK, Kim DG (2012) Surgical outcome of right liver donors in living donor liver transplantation: Single-center experience with 500 cases. J Gastrointest Surg 16: 1160-1170.
5. Azoulay D, Bhangui P, Andreani P, Salloum C, Karam V, Hoti E, Pascal G, Adam R, Samuel D, Ichai P, Saliba F and Castaing D (2011) Short- and Long-term donor morbidity in right lobe living donor liver transplantation: 91 consecutive cases in a European center. American Journal of Transplantation 11: 101-110.
6. Lauterio A, Di Sandro S, Gruttadauria S, Spada M, Di Benedetto F, Baccarani U et al (2017).Donor safety in living donor liver donation: An Italian multicenter survey. Liver Transpl 23: 184-193.
7. Dayangac M, Taner CB, Balci D et al (2010) Use of middle hepatic vein in right lobe living donor liver transplantation. Journal compilation a 2009 European Society for Organ Transplantation 23: 285-291.
8. Lei J, Yan L, Wang W (2013) Donor safety in living donor liver transplantation: A single-center analysis of 300 cases. PLOS ONE 8(4): 61769.
9. Beavers KL, Sandler RS, Shrestha R (2002) Donor morbidity associated with right lobectomy for living donor liver transplantation to adult recipients: A systematic review. Liver Transpl 8: 110-117.
10. Zhang Y, Li B, He Q, Chu Z, Ji Q (2022) Comparison of liver regeneration between donors and recipients after adult right lobe living-donor liver transplantation. Quant Imaging Med Surg 12(6): 3184-3192.
Article Sidebar
