Donor Morbidity Including Biliary Complications in Living-Donor Liver Transplantation

• DOI: 10.1097/tp.0b013e31824ad5de
• Publication Date: 2012-02-22T10:53:55Z
• Authors: Milljae Shin; Sanghyun Song; Jong Man Kim; Choon Hyuck David...; Sung-Joo Kim; Suk-Koo Lee; Jae-Won Joh
• Keywords: Economic shortage; Liver disease

Because of the shortage deceased-donor livers for transplantation, living-donor liver transplantation (LDLT) has become an indispensible treatment strategy end-stage disease. The critical prerequisite LDLT is maximal safety healthy donors.From June 1996 to November 2010, a total 827 completed donor hepatectomies were performed in our center. We analyzed morbidity associated with LDLT.There was no mortality. No complications observed 744 (90.0%) donors, and 83 (10.0%) donors experienced complications. Wound most common, occurring 48 (5.8%) patients. According modified Clavien classification, grade I, II, IIIa, IIIb 56 (67.5%), 2 (2.4%), 15 (18.1%), 10 (12.0%) respectively. Surgical or interventional management successful all IIIa donors. incidence biliary significantly higher younger Donor did not decrease below attained level even after time had passed.This study demonstrates hepatectomy. Complications relatively minor easily controlled. age inversely correlated. procedural experience surgeons complication rate.