title: Analysis of right lobe living-liver donor complications: a single center experience.
abstract: OBJECTIVE
  Living-donor liver transplant provides an alternative source of organ to patients with end-stage liver disease. This study sought to determine and classify the donor morbidities after right lobe donor hepatectomy in a single center.
  
  
  METHODS
  One hundred eighty-one right lobe living-donor hepatectomy were performed in our center between January 2004 and December 2009. Of the 181 donors, 104 donors were men and 77 donors were women. Mean age of the donors was 38 years (range, 18-63 years). The mean follow-up was 33.3 months (range, 3-66 months). Complications after the operation were stratified according to the Clavien classification.
  
  
  RESULTS
  Eighty-one complications occurred in 73 of the 181 donors (40.3%). The most common complication was wound infection, which was seen in 14 of 181 donors (7.7%). Biliary complications were seen in 4.4% of donors. There was no postoperative mortality. Also, grade 4 complications, which are life-threatening, did not occur. Blood transfusion were not required during the operation. The incidence of reoperation was 1.6% in all donors.
  
  
  CONCLUSIONS
  Living-donor liver transplant ensures a new graft to patients with end-stage liver disease. Donor morbidity is one of the realities of the donor hepatectomy procedure. Because the donors are healthy individuals, the aim of the process must be to eliminate the donor mortality while decreasing the complication rates.
authors: Florence Nightingale Hospital, Hepato-Biliary and Organ Transplant Center, Istanbul, Turkey. onuryaprak@hotmail.com
authors: Onur
authors: O
authors: Yaprak
authors: Murat
authors: M
authors: Dayangac
authors: B Tolga
authors: BT
authors: Demirbas
authors: Babek
authors: B
authors: Tabendeh
authors: Yildiray
authors: Y
authors: Yuzer
authors: Yaman
authors: Y
authors: Tokat