Open AccessThe safety of the donor operation in living‐donor liver transplantation: an analysis of 45 donors
Author(s) -
Shoji Masaru,
Ohkohchi Nobuhiro,
Fujimori Keisei,
Koyamada Nozomi,
Sekiguchi Satoshi,
Kawagishi Naoki,
Tsukamoto Shigeki,
Shirahata Yasuhiro,
Sato Kazushige,
Satomi Susumu
Publication year - 2003
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/j.1432-2277.2003.tb00333.x
Subject(s) - medicine , surgery , vein , blood transfusion , liver transplantation , blood loss , living donor liver transplantation , liver function , transplantation
We retrospectively assessed the safety of the donor operation, based on parameters suchas blood loss, blood transfusion, operation time, duration of hospitalization, and complications. Forty‐five pediatric and adult recipients underwent living‐donor liver transplantation (LDLTx) in Tohoku University Hospital from July 1991 to October 2000. Donor operations were classified into three groups. In the LS group, the graft was the lateral segment ( n =20); in the LL group, the graft was the left lobe without the middle hepatic vein ( n =16); and in the LLM group, the graft was the left lobe with the middle hepatic vein ( n =9). No significant differences were observed among the three groups regarding postoperative liver function or duration of hospitalization. In the LS group, the operation time was shorter and the requirement of autologous blood transfusion was significantly lower than in the other two groups. Most complications following retrieval of the graft were minor. Safety is guaranteed when the left lobe or the left lateral segment in used for LDLTx, but meticulous management of the operation is reqired to prevent complications.