Donor postoperative biliary complications after living donor liver transplant
| 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 | 2018-02-05T07:44:38Z | |
| dc.date.available | 2018-02-05T07:44:38Z | |
| dc.date.issued | 2015 | |
| dc.department | İnönü Üniversitesi | en_US |
| dc.description | Experimental and Clinical Transplantation, 13(6), 0–0. | en_US |
| 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 | en_US |
| 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), 0–0. | en_US |
| dc.identifier.doi | 10.6002/ect.2014.0117 | en_US |
| dc.identifier.endpage | 0 | en_US |
| dc.identifier.issue | 6 | en_US |
| dc.identifier.startpage | 0 | en_US |
| dc.identifier.uri | http://ectrx.org/forms/ectrxcontentshow.php?doi_id=10.6002/ect.2014.0117 | |
| dc.identifier.uri | https://hdl.handle.net/11616/8036 | |
| dc.identifier.volume | 13 | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | Experimental and Clinical Transplantation, 13(6), 0–0. | en_US |
| dc.relation.ispartof | Experimental and Clinical Transplantation, 13(6), 0–0. | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.subject | Liver failure | en_US |
| dc.subject | Sepsis | en_US |
| dc.subject | Bile leakage | en_US |
| dc.subject | Hepatectomy | en_US |
| dc.subject | Postoperative follow-up | en_US |
| dc.title | Donor postoperative biliary complications after living donor liver transplant | en_US |
| dc.type | Article | en_US |
