Surgical Outcomes and Complications after Right Hepatectomy in Living Donation for Adult Liver Transplantation: Single Center Experiences from 245 Cases / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 19-24, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-218959
ABSTRACT
BACKGROUND:
As the necessity of adult living donor liver transplantation continues to increase, morbidity and mortality of donors has been considered vital. Thus, we performed a sequential analysis of our surgical experience in order to find ways to improve surgical outcomes in right liver donors.METHODS:
We performed a retrospective sequential analysis of surgical outcomes of consecutive 245 right liver donors by 50 cases between October 2002 and November 2012.RESULTS:
Hospital stay (13.78 to 10.98 days), operation time (432.76 to 389.98 minutes), amount of intra operative bleeding (577.70 to 502.56 mL), and perioperative transfusion rates decreased from the initial 50 cases to the last 45 cases. A total of 96 grade I complications by Clavien-Dindo classification decreased from 26 to 17. Ten and three cases had grade IIIa and IIIb complications, respectively. There were three cases of wound infection, two cases of duodenal ulcer bleeding, one case of pleural effusion, and four cases of bile leakage of grade IIIa complications, and one case of postoperative intestinal obstruction, one case of generalized peritonitis by small bowel perforation, and one case of bile leakage of grade IIIb complications. There was no mortality during the follow-up period.CONCLUSIONS:
Although most complications with low-grade severity might be corrected by surgical refinement, efforts to reduce possible moderate to severe complications should be sustained.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Peritonite
/
Derrame Pleural
/
Doadores de Tecidos
/
Infecção dos Ferimentos
/
Bile
/
Estudos Retrospectivos
/
Seguimentos
/
Mortalidade
/
Transplante de Fígado
/
Classificação
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Society for Transplantation
Ano de publicação:
2014
Tipo de documento:
Artigo
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