Adult-to-adult living donor liver transplantation: a report of 71 cases
- VernacularTitle:成人活体肝移植71例报道
- Author:
Qiang XIA
;
Jianjun ZHANG
;
Qigen LI
;
Ming ZHANG
;
Ning XU
;
Xiaosong CHEN
;
Yu SONG
;
Feng XUE
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Living donor;
Adult
- From:
Chinese Journal of Digestive Surgery
2008;7(2):96-99
- CountryChina
- Language:Chinese
-
Abstract:
objective To investigate the method of securing donors and recipients during the initial procedure of adult-to-aduh living donor liver transplantation(ALDLT).Methods The clinical data,preoperative assessment,surgical strategies and complications of 71 adult donors and recipients who underwent ALDLT from April 2007 to November 2007 were retrospectively analyzed.Results Sixty-three right lobes without middle hepatic vein(MHV),1 extended right lobe,4 right lobes with MHV and 3 left lobes with MHV were obtained.Two donors suffered from postoperative complications including 1 with bile leakage and 1 with abdominal bleeding.No donor mortality occurred.Eighteen recipients had postoperative complications including 12 with biliary complications,3 with vascular complications and 3 with small-for-size syndrome.The perioperative mortality rate of recipients was 10%(7/71).Conclusions Strict donor and recipient assessment,optimal surgical strategy and postoperative care are extremely helpful to secure donors and recipients during the initial procedure of ALDLT.