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Donor postoperative biliary complications after living donor liver transplant

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dc.contributor.author Dirican, Abuzer
dc.contributor.author Ara, Cengiz
dc.contributor.author Kutlutürk, Koray
dc.contributor.author Özsoy, Mustafa
dc.contributor.author Ateş, Mustafa
dc.contributor.author Başkıran, Adil
dc.contributor.author Işık, Burak
dc.contributor.author Yılmaz, Sezai
dc.date.accessioned 2017-11-07T07:47:57Z
dc.date.available 2017-11-07T07:47:57Z
dc.date.issued 2015
dc.identifier.citation Dirican, A., Ara, C., Kutlutürk, K., Özsoy, M., Ateş, M., Başkıran, A., … Yılmaz, S. (2015). Donor Postoperative Biliary Complications After Living Donor Liver Transplant. Experimental And Clinical Transplantation, 13(6), 516–523. tr_TR
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pubmed/26030462
dc.identifier.uri http://hdl.handle.net/11616/7834
dc.description Experimental and Clinical Transplantation tr_TR
dc.description.abstract Objectives: Although the main factors responsible for donor deaths after living-donor liver transplant are liver failure and sepsis, the most common donor complications are associated with the biliary tract. Materials and Methods: Between April 2006 and May 2012, five hundred ninety-three donors underwent living-donor hepatectomy procedures for living-donor liver transplants. The mean age of donors was 31.0 ± 9.9 years and the ratio of men to women was 341:252. Of all donors, 533 (89.9%) underwent a right lobe hepatectomy, 45 (7.6%) underwent a left lateral segmentectomy, and 15 (2.5%) underwent a left hepatectomy. Results: Biliary complications were observed in 51 liver donors (8.6%). Based on the Clavien-Dindo classification, grade I and grade II complications were 3.2% and 0%, while grade IIIa and grade IIIb complications were observed in 3.5% and 1.85% of cases. Right lobe donor biliary complications occurred at the rate of 8.2% in 44 donors. Grade IV and grade V complications were not observed. Grade IIIa complications necessitating radiologic and endoscopic procedures were observed in 21 liver donors (3.5%). Bile leakage unresponsive to medical therapy was detected in 19 donors (3.2%). Nasobiliary catheters were placed in 3 of 19 donors and internal stents were placed in 1. Two sessions of balloon dilatation were performed in the 2 grade IIIb donors (0.33%). Biliary strictures observed in 2 right lobe donors and 1 left lobe donor was treated by hepaticojejunostomy an average of 14 months after surgery. Conclusions: Avoidance of intraoperative issues and early recognition of bile leakage are fundamental in preventing complications in living-donor liver transplant donors. Key words: Liver failure, Sepsis, Bile leakage, Hepatectomy, Postoperative follow-up tr_TR
dc.language.iso eng tr_TR
dc.publisher Experimental and Clinical Transplantation tr_TR
dc.relation.isversionof 10.6002/ect.2014.0117 tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.subject Liver failure tr_TR
dc.subject Sepsis tr_TR
dc.subject Bile leakage tr_TR
dc.subject Hepatectomy tr_TR
dc.subject Postoperative follow-up tr_TR
dc.title Donor postoperative biliary complications after living donor liver transplant tr_TR
dc.type article tr_TR
dc.relation.journal Experimental and Clinical Transplantation tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.contributor.authorID 116248 tr_TR
dc.contributor.authorID 109416 tr_TR
dc.contributor.authorID 114041 tr_TR
dc.contributor.authorID 110105 tr_TR
dc.identifier.volume 13 tr_TR
dc.identifier.issue 6 tr_TR
dc.identifier.startpage 516 tr_TR
dc.identifier.endpage 523 tr_TR

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