Donor Postoperative Biliary Complications After Living-Donor Liver Transplant

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dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridIsik, Burak/0000-0002-2395-3985
dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.authorwosidIsik, Burak/A-6657-2018
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.contributor.authorDirican, Abuzer
dc.contributor.authorAra, Cengiz
dc.contributor.authorKutluturk, Koray
dc.contributor.authorOzsoy, Mustafa
dc.contributor.authorAtes, Mustafa
dc.contributor.authorBaskiran, Adil
dc.contributor.authorIsik, Burak
dc.date.accessioned2024-08-04T20:41:22Z
dc.date.available2024-08-04T20:41:22Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: 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.en_US
dc.identifier.doi10.6002/ect.2014.0117
dc.identifier.endpage523en_US
dc.identifier.issn1304-0855
dc.identifier.issue6en_US
dc.identifier.pmid26030462en_US
dc.identifier.scopus2-s2.0-84949643748en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage516en_US
dc.identifier.urihttps://doi.org/10.6002/ect.2014.0117
dc.identifier.urihttps://hdl.handle.net/11616/97083
dc.identifier.volume13en_US
dc.identifier.wosWOS:000373450500004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaskent Univen_US
dc.relation.ispartofExperimental and Clinical Transplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLiver failureen_US
dc.subjectSepsisen_US
dc.subjectBile leakageen_US
dc.subjectHepatectomyen_US
dc.subjectPostoperative follow-upen_US
dc.titleDonor Postoperative Biliary Complications After Living-Donor Liver Transplanten_US
dc.typeArticleen_US

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