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- Title
Living Liver Donor Surgical Complication: Single Center Experience.
- Authors
Eun-Kyoung Jwa; Dong-lak Choi; Dong-lak Choi,
- Abstract
Background/Aims Korea is the one of the most common country to do living donor liver transplantation. Beside Seoul, there are no big living donor liver transplantation center except Daegu Catholic University Medical Center. We were reached to 500th living donor liver transplantation in 2017. We review our donor complication and find way to reduce the rate of morbidity. Methods Institutional LT database was searched from May 8, 2005 to December 31, 2017. Their medical records and imaging studies were reviewed. Results From May 8, 2005, we did first living donor hepatectomy, we did 512 living donor hepatectomy until December 31, 2017. Among them, 324 were male and 188 were female. Graft types were right liver graft in 457 (89.3%), left liver graft in 47 (9.2%), left lateral section graft in 2 (0.4%) and right posterior section graft in 6 (1.2%). Mean age of total donor was 30 years and Mean body mass index was 22 kg/m2. Mean hospital days was 10 days. All of the donors, surgical complication occurred in 32 donors (6.3%). Minor complication was 10 cases (1.9%). Major complication was 24 case (4.7%). Between major complication, the most common complication was biliary complication (n=17) and the other complications were small bowel obstruction operation (n=2), bleeding control (n=2), pleural effusion drainage (n=2), portal vein stent insertion (n=1). There are no mortality. The most common complication was biliary complication which were 20 cases (3.8%). Among them intraoperative T-tube insertion were nine cases and three cases were PTBD insertion and three cases did endoscopic retrograde cholangiopancreatography. There are reoperation case was just one case, which was immediate right hepatic artery bleeding. Conclusions Our center's complication was very low. But still biliary complication is the most common complication. When we meet abnormal biliary anatomy we must be careful and we try to reduce biliary complication.
- Subjects
SEOUL (Korea); SURGICAL complications; ENDOSCOPIC retrograde cholangiopancreatography; DUODENAL obstructions; BODY mass index; LIVER transplantation; HEPATIC artery; LIVER
- Publication
Gut & Liver, 2019, Vol 13, Issue 6(suppl. 1), p212
- ISSN
1976-2283
- Publication type
Article