The safety of the donor operation in living-donor liver transplantation: an analysis of 45 donors.
We retrospectively assessed the safety of the donor operation, based on parameters such as blood loss, blood transfusion, operation time, duration of hospitalization, and complications. Forty-five pediatric and adult recipients underwent living-donor liver transplantation (LDLTx) in Tohoku University Hospital from July 1991 to October 2000. Donor operations were classified into three groups. In the LS group, the graft was the lateral segment ( n=20); in the LL group, the graft was the left lobe without the middle hepatic vein ( n=16); and in the LLM group, the graft was the left lobe with the middle hepatic vein ( n=9). No significant differences were observed among the three groups regarding postoperative liver function or duration of hospitalization. In the LS group, the operation time was shorter and the requirement of autologous blood transfusion was significantly lower than in the other two groups. Most complications following retrieval of the graft were minor. Safety is guaranteed when the left lobe or the left lateral segment is used for LDLTx, but meticulous management of the operation is required to prevent complications.
Shoji
Masaru
M
Division of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. shojiken@mail.cc.tohoku.ac.jp
Ohkohchi
Nobuhiro
N
Fujimori
Keisei
K
Koyamada
Nozomi
N
Sekiguchi
Satoshi
S
Kawagishi
Naoki
N
Tsukamoto
Shigeki
S
Shirahata
Yasuhiro
Y
Sato
Kazushige
K
Satomi
Susumu
S
D000328:Adult; D016063:Blood Loss, Surgical / Q000503:physiopathology; D001804:Blood Transfusion, Autologous / Q000706:statistics & numerical data; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D007902:Length of Stay; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors