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.
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.
Authors: Paolo R O Salvalaggio; Talia B Baker; Alan J Koffron; Jonathan P Fryer; Lori Clark; Riccardo A Superina; Andres T Blei; Michael M Abecassis Journal: Transplantation Date: 2004-06-15 Impact factor: 4.939
Authors: Robert S Brown; Mark W Russo; Michelle Lai; Mitchell L Shiffman; Michael C Richardson; James E Everhart; Jay H Hoofnagle Journal: N Engl J Med Date: 2003-02-27 Impact factor: 91.245
Authors: Nam-Joon Yi; Kyung-Suk Suh; Jai Young Cho; Hae Won Lee; Eung-Ho Cho; Sung Hoon Yang; Yong Beom Cho; Kuhn Uk Lee Journal: Liver Transpl Date: 2007-06 Impact factor: 5.799
Authors: Mohamed Abdel Wahab; Ahmed Shehta; Reham Adly; Mohamed Elshoubary; Tarek Salah; Amr M Yassen; Mohamed Elmorshedi; Moataz M Emara; Mostafa Abdelkhalek; Mahmoud Elsedeiq; Usama Shiha; Ahmed N Elghawalby; Mohamed Eldesoky; Ahmed Monier; Rami Said Journal: Int J Surg Case Rep Date: 2018-06-28