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 |