Donor Complication in Living Donor Liver Transplantation.
10.4285/jkstn.2017.31.4.177
- Author:
Jae Do YANG
1
;
Hee Chul YU
Author Information
1. Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea. hcyu@chonbuk.ac.kr
- Publication Type:Review
- Keywords:
Living donor liver transplantation;
Patient safety;
Postoperative complication
- MeSH:
Cohort Studies;
Consensus;
Hepatectomy;
Humans;
Laparoscopy;
Length of Stay;
Liver Transplantation*;
Liver*;
Living Donors*;
Mortality;
Patient Safety;
Postoperative Complications;
Prospective Studies;
Risk Factors;
Tissue Donors*
- From:The Journal of the Korean Society for Transplantation
2017;31(4):177-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Living donor liver transplantation (LDLT) has become an inevitable procedure due a shortage of deceased donors under the influence of religious and native cultures. The most important concern in LDLT is donor safety. This study reviewed the safety of LDLT donors from reported studies of morbidity and mortality. Many studies have reported mortality and morbidity rates ranging from 0% to 33% for healthy liver donors. Use of laparoscopic surgery on LDLT donors has advantages of reduced blood loss, lower postoperative morbidity and shorter hospital stay relative to conventional open surgery. There is a consensus that remnant liver volume (RLV), degree of steatosis, and donor age are the most important factors influencing donor safety. In LDLT, donor hepatectomy can be performed successfully with minimal and easily controlled complications. However, a large-scale prospective cohort study is needed to better understand the risk factors and accurately determine the complication rates for LDLT.
