World Journal of Surgery

, Volume 35, Issue 2, pp 403–408 | Cite as

Living Donor Right Liver Lobe Transplantation With or Without Inclusion of the Middle Hepatic Vein: Analysis of Complications

  • Jorge Marcelo Padilla Mancero
  • Adriano Miziara Gonzalez
  • Marcelo Augusto Fontenelle RibeiroJr.
  • Gilberto PeronJr.
  • Raul Carlos Wahle
  • Francisco Leôncio Dazzi
  • Adávio de Oliveira e Silva
  • Luiz Augusto Carneiro D’Albuquerque



For living-related liver transplantation, harvesting a right hepatic graft that includes the middle hepatic vein (MHV) has been recommended to improve venous drainage of the graft. However, it may result in congestion of the donor’s remaining segment IV, increasing the potential risk to the donor. This study aimed to compare safety levels for liver donors during procedures with or without removal of the MHV.


A total of 68 living donor liver transplantations were performed from March 2001 to May 2007. In 39 procedures, the MHV was not included in the graft (group A), and in 29 the MHV was included in the graft (group B). The analyzed data included surgical time, use of blood derivatives, length of hospital stay, laboratory analyses, weight of the graft, and clinical complications.


No differences were observed regarding the need for blood derivatives or laboratory parameters. The frequency of postoperative complications was similar in the two groups, with 10 cases (25.6%) in group A and 7 cases (24.1%) in group B (P = 0.887). No deaths were seen. The rate of observed complications was 25% among living donors, most of them being managed without surgical intervention.


The inclusion of the MHV does not add morbidity in living donors in selected cases.


Liver Donor Living Donor Liver Transplantation Middle Hepatic Vein Percutaneous Catheter Drainage Multislice Spiral Compute Tomography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Société Internationale de Chirurgie 2010

Authors and Affiliations

  • Jorge Marcelo Padilla Mancero
    • 1
  • Adriano Miziara Gonzalez
    • 1
    • 3
  • Marcelo Augusto Fontenelle RibeiroJr.
    • 1
  • Gilberto PeronJr.
    • 1
  • Raul Carlos Wahle
    • 2
  • Francisco Leôncio Dazzi
    • 1
  • Adávio de Oliveira e Silva
    • 2
  • Luiz Augusto Carneiro D’Albuquerque
    • 1
  1. 1.Department of General and Transplantation SurgeryHospital Beneficência PortuguesaSão PauloBrazil
  2. 2.Department of Gastroenterology and HepatologyHospital Beneficência PortuguesaSão PauloBrazil
  3. 3.São PauloBrazil

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