Psychosocial outcome of living donors after living donor liver transplantation: a pilot study.
In view of the scarcity of organ resources available for transplantation, living donor liver transplantation (LDLT) is gaining growing importance in the treatment of chronically terminal liver diseases. In the period between December 1999 and October 2000, 47 potential living liver donors were evaluated and 24 right hepatic lobes and two left lateral segments were transplanted at the Virchow-Klinikum of the Charité Hospital in Berlin. The present study looks into biomedical and psychosocial parameters of 23 donors before and 6 months after LDLT. Our aims were to investigate the development of psychosocial parameters after donation and the relationship between psychosocial findings and post-operative complications. Most donors showed an improved quality of life (QoL) after LDLT when compared with pre-operative results. Twenty-six percent of donors show high values for 'tiredness', 'fatigue' and 'limb pain' following donation. The post-operative complications had no influence on the psychosocial outcome. In this pilot study the resection of the right hepatic lobe amounts to a safe operation for donors and holds promise of a good psychosocial outcome for most donors, irrespective of donation-related complications. The pronounced complaints appears to indicate psychological tension and distress in some donors following donation.
Walter
Marc
M
Clinic for Internal Medicine, Psychosomatics/Psychotherapy, Charité, Campus Mitte, Humboldt-University, Berlin, Germany. marc.walter@charite.de
Bronner
Ekkehard
E
Pascher
Andreas
A
Steinmüller
Thomas
T
Neuhaus
Peter
P
Klapp
Burghard F
BF
Danzer
Gerhard
G
D000328:Adult; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000379:methods / Q000523:psychology*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D010865:Pilot Projects; D011183:Postoperative Complications / Q000523:psychology*; D011594:Psychometrics; D011788:Quality of Life