title: Pulmonary Complications After 1,150 Living Donor Hepatectomies.
abstract: OBJECTIVE
  Donor safety is the major concern in living-donor liver transplantation. Studies in literature related to donor hepatectomy (DH) have generally considered intra-abdominal complications. The aim of this study is to specifically evaluate pulmonary complications (PCs) after DH.
  
  
  METHODS
  We evaluated retrospectively 1150 living donors who underwent to DH between January 2007 and July 2014. Patients with PCs, such as pneumonia, pleural effusion, pneumothorax, and respiratory insufficiency, were considered. A complication was considered only when it was clinically apparent and/or requiring interventions. Any special diagnostic tool was used to expose the clinically silent pathologies.
  
  
  RESULTS
  A total of 986 right hepatectomies (RH) and 164 left hepatectomies (LH) (left lobectomy or left lateral segmentectomy) were performed in the study interval. There were 18 (1.6%) donors with PCs (15 males and 3 females). Mean age was 33.8 ± 9.3 years (18-51). Mean hospital stay was 23.8 ± 13.5 days (5-62). Presented PCs were pleural effusion (n = 5, 0.4%), pneumonia (n = 4, 0.3%), combinations (n = 2, 0.2%), pneumothorax (n = 2, 0.2%), and acute respiratory insufficiency (n = 5, 0.4%). Sixteen cases (1.7%) were seen after RH, whereas 2 cases (1.2%) were seen after LH (P = 1.000).
  
  
  CONCLUSIONS
  The most common PCs after living donor hepatectomy were pleural effusion and acute respiratory insufficiency. There was no significant difference between RH and LH. It is possible to overcome those PCs with careful monitoring and timely and appropriate treatment.
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Ates
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Kinaci
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey. Electronic address: abuzerdirican@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Dirican
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Sarici
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: V
authors.initials: V
authors.lastname: Soyer
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Koc
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Yilmaz
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects; D019520:Living Donors; D008171:Lung Diseases / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000009:adverse effects; D055815:Young Adult