title: Is there any difference between right hepatectomy and left lateral sectionectomy for living donors? as much you cut, as much you hurt?
abstract: BACKGROUND
  The worldwide rising demand for cadaveric donors in liver transplantation is an important incentive for the development of alternative transplantation options, such as living donors. A precise evaluation of surgical complications is, therefore, considered to be an important issue in this setting.
  
  
  OBJECTIVE
  Present a retrospective analysis of 126 living donors hepatectomies undertaken at our centre.
  
  
  METHODS
  From December 2002 to August 2009, 126 living donors were submitted to hepatectomy. Donors' complications were stratified according to Clavien's scoring system to compare the morbidity of right hepatectomy (RH) (Group 1) and left lateral sectionectomy (LLS) (Group 2).
  
  
  RESULTS
  Thirty-nine complications were observed in 35 patients. Sixty LLS, 3 left (LH) and 63 RH were performed. The complications were classified as: Clavien grade 1-11 (28.2%), grade 2-12 (30.7%), grade 3A-13 (33.3%), grade 3B-2 (5.1%) and grade 4A-1 (2.5%). When Group 1 (63 patients) and Group 2 (60 patients) were compared, there was no significant difference between the number of complications: 20 (31%) and 14 (23%), respectively (P > 0.3).
  
  
  CONCLUSIONS
  Hepatectomy for living donor liver transplantation (LDLT) was a safe procedure, regardless of the type of liver resection undertaken. We found no difference in morbidity between RH and LLS, which suggests that complications may occur despite the amount of liver retrieved.
authors.affiliation: Liver Transplantation Unit, Bonsucesso Federal Hospital - Health Ministry, Rio de Janeiro, Brazil. drsteinbruck@yahoo.com.br
authors.forename: Klaus
authors.initials: K
authors.lastname: Steinbrück
authors.forename: Reinaldo
authors.initials: R
authors.lastname: Fernandes
authors.forename: Marcelo
authors.initials: M
authors.lastname: Enne
authors.forename: Jose Manoel
authors.initials: JM
authors.lastname: Martinho
authors.forename: Jefferson
authors.initials: J
authors.lastname: Alves
authors.forename: Lúcio Filgueiras
authors.initials: LF
authors.lastname: Pacheco-Moreira
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D016009:Chi-Square Distribution; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D019520:Living Donors / Q000600:supply & distribution*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D055815:Young Adult