title: Outcome of right hepatectomy for living liver donors: a single Egyptian center experience.
abstract: BACKGROUND
  This study aims to evaluate living liver donor outcome after right hepatectomy in a single Egyptian center.
  
  
  METHODS
  Between April 2004 and July 2010, 100 living donors underwent right hepatectomy. Their medical records and postoperative follow-up visits were retrospectively revised. Perioperative complications were reported. Postoperative complications were classified according to the five tier version of Clavien system.
  
  
  RESULTS
  There were 71 males and 29 females. The mean age was 27.6 ± 7.4 years. The mean graft weight was 999 ± 167 g and the mean volume percent of the remaining liver was 36.8 ± 8%. The mean ICU and hospital stay were 2.6 ± 2.7 and 12.4 ± 9.1, respectively. A total of 57 complications developed in 38 donors (38%). The commonest complication type was biliary complications. There were 22 grade I, 6 grade II, 15 grade IIIa, 12 grade IIIb, 1 grade IVa, and 1 grade V complications. One donor died due to posttransfusion ARDS on the 30th postoperative day. On follow-up, no donor developed long lasting disability. A donor died in a road traffic accident 1 year after donation.
  
  
  CONCLUSIONS
  Donor right hepatectomy is not an entirely safe procedure. Biliary complications are the commonest early postoperative complications.
authors.affiliation: Gatrointestinal Surgery and Liver Transplantation Unit, Gastroenterology Surgical Center, Mansoura University, Gehan Street, Mansoura, Egypt.
authors.forename: Tarek
authors.initials: T
authors.lastname: Salah
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: Sultan
authors.forename: Omar M
authors.initials: OM
authors.lastname: Fathy
authors.forename: Mohammed M
authors.initials: MM
authors.lastname: Elshobary
authors.forename: Nabieh A
authors.initials: NA
authors.lastname: Elghawalby
authors.forename: Ahmed
authors.initials: A
authors.lastname: Sultan
authors.forename: Amr M
authors.initials: AM
authors.lastname: Yassen
authors.forename: Walid M R
authors.initials: WM
authors.lastname: Elsarraf
authors.forename: Mohammed
authors.initials: M
authors.lastname: Elmorshedi
authors.forename: Mohammed F
authors.initials: MF
authors.lastname: Elsaadany
authors.forename: Usama A
authors.initials: UA
authors.lastname: Shiha
authors.forename: M Abdel
authors.initials: MA
authors.lastname: Wahab
mesh_terms: D000328:Adult; D004534:Egypt / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult