Donor postoperative biliary complications after living donor liver transplant
| dc.authorid | 110105 | en_US |
| 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 | 2017-08-07T11:23:13Z | |
| dc.date.available | 2017-08-07T11:23:13Z | |
| dc.date.issued | 2015 | |
| dc.department | İnönü Üniversitesi | en_US |
| dc.description.abstract | 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.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.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.Avoidance of intraoperative issues and early recognition of bile leakage are fundamental in preventing complications in living-donor liver transplant donors. | en_US |
| dc.identifier.citation | Dirican, A. Ara, C. Kutlutürk, K. Özsoy, M. Ateş, M. Başkıran, A. Işık, B. Yılmaz, S. (2015). Donor postoperative biliary complications after living donor liver transplant. Experimental and Clinical Transplantation. 13(6), 516–523. | en_US |
| dc.identifier.doi | 10.6002/ect.2014.0117 | en_US |
| dc.identifier.endpage | 523 | en_US |
| dc.identifier.issn | 13040855 | |
| dc.identifier.issue | 6 | en_US |
| dc.identifier.startpage | 516 | en_US |
| dc.identifier.uri | https://hdl.handle.net/11616/7472 | |
| dc.identifier.volume | 16 | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | Experimental and Clinical Transplantation | en_US |
| dc.relation.ispartof | Experimental and Clinical Transplantation | en_US |
| dc.rights | info:eu-repo/semantics/embargoedAccess | en_US |
| dc.title | Donor postoperative biliary complications after living donor liver transplant | en_US |
| dc.type | Article | en_US |
