Post-operative complications requiring hospitalization more than one yr after living donor liver transplantation

Authors


  • Partial presentation at the 97th Clinical Congress of American College of Surgeons, Washington, DC, October 2010.
  • Conflict of interest: None.

Abstract

Background/Purpose

The long-term outcomes after living donor liver transplantation (LDLT) have not been clearly established. This retrospective study assessed long-term outcomes after LDLT through reviewing complications requiring hospitalization more than one yr after engraftment.

Methods

Sixty-five LDLT recipients alive more than one yr post-transplantation were enrolled, 37 males and 28 females, with a median age at transplantation of 53 yr (range, 0–68 yr). We reviewed all post-operative complications requiring hospitalization more than one yr after LDLT.

Results

There were 61 post-operative complications requiring hospitalization in 43 of the 65 patients (66%), and the majority of these complications were transplantation related (59/61; 97%). Despite this, 43 (78%) of 55 surviving patients had normal liver function at their last follow-up, and 50 patients (91%) achieved normal activity (Karnofsky score 100%).

Conclusions

More than one-half of our LDLT recipients required hospitalization more than one yr post-LDLT to treat a complication. Most were able to maintain their quality of life and liver function with appropriate treatment.

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