Small remnant liver volume after right lobe living donor hepatectomy

Salleh Ibrahim, Chao Long Chen*, Chih Chi Wang, Shih Ho Wang, Chih Che Lin, Yeuh Wei Liu, Chin Hsiang Yang, Chee Chien Yong, Allan Concejero, Yu Fan Cheng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

25 Scopus citations

Abstract

Background: Right lobe living donor liver transplantation has become a viable option for adult patients with end-stage liver disease, however, the safety of the donor is of paramount importance. One of the key factors in donor safety is ensuring adequate donor remnant liver volume. Methods: We retrospectively examined donors who had less than 30% remnant liver volume after right graft procurement. Eighty-six right lobe living donor transplants were carried out in Chang Gung Memorial Hospital, Kaohsiung Medical Center, from January 1999 to December 2004. Results: Eight donors had less than 30% remnant liver volume (Group 1) after graft procurement and 78 donors had remnant liver volume greater than 30% (Group 2). There were no differences in donor characteristics, types of graft, operative parameters, and post-operative liver and renal function as well as liver volume at 6 months post-donation between the 2 groups. The graft weight obtained in Group 1 donors was significantly greater compared with that from Group 2 (P < .005). The overall donor complication rate was 6.98%, and all the complications occurred among group 2 donors. Conclusions: The judicious use of donors with less than 30% remnant liver volume is safe as a last resort.

Original languageEnglish
Pages (from-to)749-755
Number of pages7
JournalSurgery (United States)
Volume140
Issue number5
DOIs
StatePublished - 11 2006
Externally publishedYes

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