dc.contributor.author |
Onur, A |
|
dc.contributor.author |
Akbulut, S |
|
dc.contributor.author |
Dirican, A |
|
dc.contributor.author |
Isik, B |
|
dc.contributor.author |
Yilmaz, S |
|
dc.date.accessioned |
2022-08-12T12:29:38Z |
|
dc.date.available |
2022-08-12T12:29:38Z |
|
dc.date.issued |
2018 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/60970 |
|
dc.description.abstract |
ObjectiveTo determine the relationship between a transplant center's experience and life-threatening or nearly life-threatening complications during living donor hepatectomy (LDH). |
|
dc.description.abstract |
MethodsThe medical records of 1140 patients who underwent LDH were analyzed. To determine the relationship between life-threatening complications and a transplant center's experience, the following comparisons between LDH cases were performed: first 100 vs subsequent 100; first 100 vs subsequent 1040; first 200 vs subsequent 940; right hepatectomy vs left hepatectomy; and first 5years of experience vs subsequent 5years. |
|
dc.description.abstract |
ResultsA total of 36 life-threatening or nearly life-threatening complications developed in 34 of 1140 (2.98%) healthy individuals undergoing LDH. Of these, 5 occurred intraoperatively, 26 within 1month, and 5 beyond 1month. The most common complications were biliary problems and postoperative bleeding. None of the donors died at follow-up. One donor underwent deceased donor liver transplantation (DDLT) for severe hepatic failure. Only 2 comparisons were significantly different with regard to life-threatening complications: the first 100 vs the subsequent 1040 (P=.03) and the first 200 vs the subsequent 940 (P=.01). |
|
dc.description.abstract |
ConclusionThis study indicates that the incidence of life-threatening or nearly life-threatening complications are reduced by increased center experience (>200 LDHs). |
|
dc.description.abstract |
C1 [Akbulut, Sami] Inonu Univ, Fac Med, Dept Surg, Malatya, Turkey. |
|
dc.description.abstract |
[Akbulut, Sami] Inonu Univ, Fac Med, Liver Transplant Inst, Malatya, Turkey. |
|
dc.source |
CLINICAL TRANSPLANTATION |
|
dc.title |
Life-threatening or nearly life-threatening complications in living |
|
dc.title |
liver donors |
|