S-Space College of Medicine/School of Medicine (의과대학/대학원) Surgery (외과학전공) Journal Papers (저널논문_외과학전공)
Three-quarters of right liver donors experienced postoperative complications
- Yi, Nam-Joon; Suh, Kyung-Suk; Cho, Jai Young; Lee, Hae Won; Cho, Eung-Ho; Yang, Sung Hoon; Cho, Yong Beom; Lee, Kuhn Uk
- Issue Date
- John Wiley & Sons
- Liver Transpl. 2007 Jun;13(6):797-806
- Adult; Female; Hepatectomy/*adverse effects; Humans; Liver/radiography; Liver Function Tests; *Liver Transplantation; Living Donors/*statistics & numerical data; Male; Postoperative Complications/classification/*epidemiology; Prospective Studies; Tomography, X-Ray Computed
- A donor right hepatectomy (RH) is associated with a higher rate of morbidity than a left hepatectomy. Therefore, the precise morbidity should be known to improve the success of donor RH implementation. However, the rate of complication varies according to the individual definition of morbidity. This study prospectively analyzed the outcomes of 83 consecutive living donor RHs between January 2002 and July 2004 using a standardized classification of the severity of complications. The morbidity was classified using the modified Clavien system: grade I for minor complications; grade II for potentially life-threatening complications requiring pharmacological treatment; grade III for complications requiring invasive intervention; grade IV for complications causing organ dysfunction requiring intensive care unit management; and grade V complications resulting in the death of the patient. The donors were followed-up regularly for at least 12 months. No donor death or relaparotomy was noted. Overall, 65 out of 83 donors (78.3%) experienced postoperative complications: grades I, II, III, IV, and V complications in 64 (77.1%), 11 (13.3%), 1 (1.2%), 0, and 0 patients, respectively. The most common grade I complications were hyperbilirubinemia (n = 31) and pleural effusion (n = 31), and bile leakage in grade II (n = 7). The bilirubin and alanine aminotransferase levels were normal in 92.7% of donors at the 1-year follow-up. In conclusion, although most of these adverse events were minor and self-limited, 78% of right liver donors still experienced morbidity. Therefore, continuous standardized reporting of the donor morbidity as well as meticulous surgery and intensive care are essential for the success of donor RH implementation.
- 1527-6465 (Print)
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