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Outcome of Right Hepatectomy for Living Liver Donors: A Single Egyptian Center Experience

  • Original Article
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Background

This study aims to evaluate living liver donor outcome after right hepatectomy in a single Egyptian center.

Patients and Methods

Between April 2004 and July 2010, 100 living donors underwent right hepatectomy. Their medical records and postoperative follow-up visits were retrospectively revised. Perioperative complications were reported. Postoperative complications were classified according to the five tier version of Clavien system.

Results

There were 71 males and 29 females. The mean age was 27.6 ± 7.4 years. The mean graft weight was 999 ± 167 g and the mean volume percent of the remaining liver was 36.8 ± 8%. The mean ICU and hospital stay were 2.6 ± 2.7 and 12.4 ± 9.1, respectively. A total of 57 complications developed in 38 donors (38%). The commonest complication type was biliary complications. There were 22 grade I, 6 grade II, 15 grade IIIa, 12 grade IIIb, 1 grade IVa, and 1 grade V complications. One donor died due to posttransfusion ARDS on the 30th postoperative day. On follow-up, no donor developed long lasting disability. A donor died in a road traffic accident 1 year after donation.

Discussion and Conclusions

Donor right hepatectomy is not an entirely safe procedure. Biliary complications are the commonest early postoperative complications.

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Acknowledgments

We would like to acknowledge the effort of our late professor Farouk Ezzat who founded the liver transplantation unit in our center. Also, we would like to acknowledge the help of Professor Olivier Boillot during the first 34 LDLT cases.

Author information

Authors and Affiliations

  1. Gatrointestinal Surgery and Liver Transplantation Unit, Gastroenterology Surgical Center, Mansoura University, Gehan Street, Mansoura, Egypt

    Tarek Salah, Ahmad M. Sultan, Omar M. Fathy, Mohammed M. Elshobary, Nabieh A. Elghawalby, Ahmed Sultan & M. Abdel Wahab

  2. Anesthesia and Intensive Care Department, Gastroenterology Surgical Center, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Amr M. Yassen, Walid M. R. Elsarraf & Mohammed Elmorshedi

  3. Internal Medicine Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Mohammed F. Elsaadany

  4. Radiology Department, Gastroenterology Surgical Center, Mansoura University, Mansoura, Egypt

    Usama A. Shiha

Authors
  1. Tarek Salah
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  2. Ahmad M. Sultan
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  3. Omar M. Fathy
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  4. Mohammed M. Elshobary
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  5. Nabieh A. Elghawalby
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  6. Ahmed Sultan
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  7. Amr M. Yassen
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  8. Walid M. R. Elsarraf
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  9. Mohammed Elmorshedi
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  10. Mohammed F. Elsaadany
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  11. Usama A. Shiha
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  12. M. Abdel Wahab
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Corresponding author

Correspondence to Ahmad M. Sultan.

Additional information

This work is to be attributed to Gastroenterology Surgical Center, Mansoura Faculty of Medicine, Mansura University.

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Salah, T., Sultan, A.M., Fathy, O.M. et al. Outcome of Right Hepatectomy for Living Liver Donors: A Single Egyptian Center Experience. J Gastrointest Surg 16, 1181–1188 (2012). https://doi.org/10.1007/s11605-012-1851-4

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  • DOI: https://doi.org/10.1007/s11605-012-1851-4

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