Open AccessUse of middle hepatic vein in right lobe living donor liver transplantation
Author(s) -
Dayangac Murat,
Burcin Taner C.,
Balci Deniz,
Memi Izzet,
Yaprak Onur,
Akin Baris,
Duran Cihan,
Killi Refik,
Ayanoglu Omer,
Yuzer Yildiray,
Tokat Yaman
Publication year - 2010
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.1432-2277.2009.00978.x
Subject(s) - medicine , hepatectomy , living donor liver transplantation , vein , liver transplantation , surgery , complication , lobe , liver function , transplantation , resection , pathology
Summary The harvesting of the middle hepatic vein (MHV) with the right lobe graft for living‐donor liver transplantation allows an optimal venous drainage for the recipient; however, it is an extensive operation for the donor. This is a prospective, nonrandomized study evaluating liver functions and early clinical outcome in donors undergoing right hepatectomy with or without MHV harvesting. From August 2005 to July 2007, a total of 100 donor right hepatectomies were performed with ( n = 49) or without ( n = 51) the inclusion of the MHV. The decision to take MHV was based on an algorithm that considers various donor and recipient factors. There was no donor mortality in donors in either group. Overall complication rate was higher in MHV (+) donor group, however when remnant liver volume was kept above 30%, complication rates were similar between the groups. The results of this study show that right hepatectomy including the MHV neither affects morbidity nor impairs early liver function in donors when remnant volume is kept above 30%. The decision, therefore, of the extent of right lobe donor hepatectomy should be tailored to the particular conditions considering the graft quality and metabolic demand of the recipient.