Aborted donor hepatectomy in living donor liver transplantation: lessons learned

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dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.contributor.authorKutluturk, K.
dc.contributor.authorAkbulut, S.
dc.contributor.authorBaskiran, A.
dc.contributor.authorGonultas, F.
dc.contributor.authorDirican, A.
dc.contributor.authorIsik, B.
dc.contributor.authorYilmaz, S.
dc.date.accessioned2024-08-04T20:48:44Z
dc.date.available2024-08-04T20:48:44Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Aborted donor hepatectomy (ADH) during any stage of living donor hepatectomy (LDH) is a rare event. We describe our experience and discuss the lessons from these events. Methods: From September 2005 to January 2019, 77 of 2 031 (3.79%) LDH were aborted at various stages of surgical procedure due to donor or recipient related reasons. Demographic and clinical data of aborted donor candidates and the clinical course of their potential recipients were analysed. Results: LDH of 77 donor candidates was aborted due to donor (n = 53) or recipient (n = 24) related reasons. The most common donor related reason was the quality of liver parenchyma (n = 31). The most common recipient related reason was haemodynamic instability (n = 11). Twenty-three recipients underwent either living donor liver transplantation (LDLT) (n = 21) or deceased donor liver transplantation (DDLT) (n = 2) at a median of 6 days following ADH. In one aborted due to a donor reason and two aborted for recipient reasons, LDLT was performed using the same donor candidates. Thirty-six recipients had no liver transplantation (LT) and died a median of 17.5 days following ADH. Conclusions: We believe that ADH will decrease with experience and meticulous preoperative clinical and radiological evaluations. Abandoning the donor hepatectomy is always a valid option at any stage of the surgery when the unexpected is encountered.en_US
dc.identifier.doi10.17159/2078-5151/2020/v58n2a3143
dc.identifier.endpage100en_US
dc.identifier.issn0038-2361
dc.identifier.issn2078-5151
dc.identifier.issue2en_US
dc.identifier.pmid32644313en_US
dc.identifier.scopus2-s2.0-85088066701en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage91en_US
dc.identifier.urihttps://doi.org/10.17159/2078-5151/2020/v58n2a3143
dc.identifier.urihttps://hdl.handle.net/11616/99417
dc.identifier.volume58en_US
dc.identifier.wosWOS:000590076400011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSa Medical Assocen_US
dc.relation.ispartofSouth African Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectliving donor liver transplantationen_US
dc.subjectliving donor hepatectomyen_US
dc.subjectaborted donor hepatectomyen_US
dc.subjectno-go donor hepatectomyen_US
dc.subjectbeginning syndromeen_US
dc.titleAborted donor hepatectomy in living donor liver transplantation: lessons learneden_US
dc.typeArticleen_US

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