Outcomes and Safety of Living Donor Hepatectomy for Liver Transplantation: A Single-Center Experience
IRANIAN RED CRESCENT MEDICAL JOURNAL, vol.64, pp.1-5, 2024 (SCI-Expanded)
- Publication Type: Article / Article
- Volume: 64
- Publication Date: 2024
- Doi Number: 10.22034/ircmj.2024.207349
- Journal Name: IRANIAN RED CRESCENT MEDICAL JOURNAL
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), CAB Abstracts
- Page Numbers: pp.1-5
- Open Archive Collection: AVESIS Open Access Collection
- Gazi University Affiliated: Yes
Abstract
Background and Objectives: Donor hepatectomy for living related liver transplantation (LRLT) has been using widely worldwide, particularly in countries that face a shortage of deceased donors. In this study, the outcomes and safety of donor hepatectomy were aimed to be examined. Methods: Total of 69 donor hepatectomies have been performed between 2006 and 2020. All data were collected retrospectively from hospital charts. Donor evaluation starts with whole blood tests, viral load, blood group analysis. Later, all donors evaluated by the transplantation surgery, gastroenterology, pulmonary, cardiologic and psychiatric teams. Results: Of the 69 living liver donors, 28 (41%) were female, 41 (59%) were male, 39 (57%) for pediatric and 30 (43%) for adult recipient, respectively. The mean age of the donor was 35 ± 10.5 years (range, 2160). Among the donors, 25 (36%) donors underwent to right lobectomy without middle hepatic vein, 28 (41%) left lobectomy and in 16 (23%) left lateral (LL) lobectomy. Totally 8 (12%) surgical complications were seen (n=6 early, n=2 late complication) in median 100 months (range 44-205) follow-up period. Conclusion: Our study demonstrates favorable outcomes and safety profiles of donor hepatectomy for LRLT at our center. The meticulous evaluation process, comprehensive surgical planning, and multidisciplinary approach contribute to the success of the procedure.