Presented at 2005 American Transplant Congress, Seattle, WA, May 20–23, 2005.
Analysis and Outcomes of Right Lobe Hepatectomy in 101 Consecutive Living Donors
Article first published online: 6 OCT 2005
American Journal of Transplantation
Volume 5, Issue 11, pages 2764–2769, November 2005
How to Cite
Shah, S. A., Grant, D. R., Greig, P. D., McGilvray, I. D., Adcock, L. D., Girgrah, N., Wong, P., Kim, R. D., Smith, R., Lilly, L. B., Levy, G. A. and Cattral, M. S. (2005), Analysis and Outcomes of Right Lobe Hepatectomy in 101 Consecutive Living Donors. American Journal of Transplantation, 5: 2764–2769. doi: 10.1111/j.1600-6143.2005.01094.x
- Issue published online: 6 OCT 2005
- Article first published online: 6 OCT 2005
- Received 29 April 2005, revised and accepted for publication 2 August 2005
- Liver grafts;
- liver transplantation;
- living-related liver donors
The shortage of deceased organ donors has created a need for right lobe living donor liver transplantation (RLDLT) in adults. Concerns regarding donor safety, however, necessitate continuous assessment of donor acceptance criteria and documentation of donor morbidity. We report the outcomes of our first 101 donors who underwent right lobectomy between April 2000 and November 2004. The cohort comprised 58 men and 43 women with a median age of 37.8 years (range: 18.6–55 years); median follow-up is 24 months. The middle hepatic vein (MHV) was taken with the graft in 55 donors. All complications were recorded prospectively and stratified by grade according to Clavien's classification. Overall morbidity rate was 37%; all complications were either grade 1 or 2, and the majority occurred during the first 30 days after surgery. Removal of the MHV did not affect morbidity rate. There were significantly fewer complications in the later half of our experience. All donors are well and have returned to full activities. With careful donor selection and specialized patient care, low morbidity rates can be achieved after right hepatectomy for living donor liver transplantation.