title: Delayed gastric emptying after living donor hepatectomy for liver transplantation.
abstract: Delayed gastric emptying is a significant postoperative complication of living donor hepatectomy for liver transplantation and may require endoscopic or surgical intervention in severe cases. Although the mechanism of posthepatectomy delayed gastric emptying remains unknown, vagal nerve injury during intraoperative dissection and adhesion formation postoperatively between the stomach and cut liver surface are possible explanations. Here, we present the first reported case of delayed gastric emptying following fully laparoscopic hepatectomy for living donor liver transplantation. Additionally, we also present a case in which symptoms developed after open right hepatectomy, but for which dissection for left hepatectomy was first performed. Through our experience and these two specific cases, we favor a neurovascular etiology for delayed gastric emptying after hepatectomy.
authors.affiliation: Center for Liver Disease and Transplantation, Department of Surgery, Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Hanjay
authors.identifier: 0000-0002-2367-5591
authors.initials: H
authors.lastname: Wang
authors.affiliation: Center for Liver Disease and Transplantation, Department of Surgery, Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Adam D
authors.initials: AD
authors.lastname: Griesemer
authors.affiliation: Department of Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA.
authors.forename: Ronald F
authors.initials: RF
authors.lastname: Parsons
authors.affiliation: Department of Surgery, Montefiore Medical Center, Bronx, NY 10467, USA.
authors.forename: Jay A
authors.initials: JA
authors.lastname: Graham
authors.affiliation: Center for Liver Disease and Transplantation, Department of Surgery, Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Jean C
authors.initials: JC
authors.lastname: Emond
authors.affiliation: Center for Liver Disease and Transplantation, Department of Surgery, Columbia University Medical Center, New York, NY 10032, USA ; New York Presbyterian Hospital/Columbia, PH Room Floor 14, Room 202, 622 West 168th Street, New York, NY 10032, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Samstein