Abstract:
Introduction. Living donor liver transplantation (LDLT) has become necessary because
of the shortage of cadaveric organs. We retrospectively analyzed 500 living donor
hepatectomies using the Clavien classification system for complications to grade their
severity.
Materials and methods. We retrospectively identified and applied the Clavien clasification
to 500 consecutive donors who underwent right for LDLT left hepatectomy between
January 2007 and August 2011.
Results. The 149 complications were observed in 93 of 500 (18.6%) donors who were
followed for a mean 30 months. There wan no donor mortality. Complications developed
in 85 (18.6%) right 5 (35.7%) left, and 3 (10%) left lateral segment hepatectomy donors.
The overall incidence of reoperations was 7.2%. Seventy-seven of 149 complications were
grade I (51.6%) or 9 grade II (6%). The major complications consisted of 27 (18.1%) grade
IIIa, 35 (23.4%) grade IIIb, and 1 (0.6%) grade IVa. Grade IVb and grade V complications
did not occur. The most common problems were biliary complications in 14 of 181 donors
(7.7%).
Conclusion. Donors for LDLT experienced a range of complications.
