title: [Complications after transplantation of a hepatic fragment from a living donor: the results of surgical interventions in 600 donors].
abstract: Basing on retrospective analysis there were studied the rate and severity of complications (in accordance to T92-Dindo classification), ocurred after hepatic fragment resection in 600 living donors in period of 2007 - 2012 yrs. The donors were ageing from 18 to 65 yrs old, 31 yrs at average: there were 259 women and 341 men; body mass index (BMI) from 24 to 36 kg/m2, 27.4 kg/m2 at average; follow-up lasted from 2 to 58 mo, 39 mo at average. In 538 (89.6%) donors a right-sided hemihepatectomy was accomplished, in 19 (3.1%)--left-sided hemihepatectomy, in 43 (7.2%)--left lateral sectorectomy (C(II) - CIII segment). Residual hepatic volume in donors was from 26 to 87%, 37% at average; the operation duration was from 205 to 440 min, 327 min at average; intraoperative blood loss--from 105 to 800 ml, 310 ml at average; a stationary stay have constituted from 5 to 13 days, 7.2 days at average. In 116 (19.3%) donors 187 various complications have occurred, predominantly mild, they were eliminated using conservative treatment. Biliary complications (the bile outflow, biloma, stricture of biliary ducts) were revealed mostly often--in 64 (10.6%) patients. In 34 reoperations were performed. All donors are alive.
authors.forename: S
authors.initials: S
authors.lastname: Ilmaz
authors.forename: D
authors.initials: D
authors.lastname: Ozgor
authors.forename: A
authors.initials: A
authors.lastname: Dirichan
authors.forename: M
authors.initials: M
authors.lastname: Atesh
authors.forename: F
authors.initials: F
authors.lastname: Gonul'tash
authors.forename: Ch
authors.initials: Ch
authors.lastname: Ara
authors.forename: Ch
authors.initials: Ch
authors.lastname: Kaĭaal'p
authors.forename: M
authors.initials: M
authors.lastname: Ilmaz
authors.forename: N
authors.initials: N
authors.lastname: Baĭramov
authors.forename: V
authors.initials: V
authors.lastname: Pashazade
authors.forename: A
authors.initials: A
authors.lastname: Giuraras
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000473:pathology*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000502:physiology*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation / Q000706:statistics & numerical data