Abstract：
BACKGROUND:Living-donor liver transplantation has become a legitimate alternative to cadaveric liver transplantation. However, information on the perioperative management of donors is still scarce. METHODS:Between October 1996 and May 2001, 52 consecutive living-donor liver transplantations have been performed at the authors' institution. The preoperative and postoperative management of donors, operative technique, and complications are herein described. RESULTS:All donors were discharged from the hospital alive and well, and all returned to their normal lifestyle without any significant adverse sequelae after a mean hospital stay of 13 days after the operation. Overall, 24 complications occurred, all of which could be managed conservatively, except for one case of hepatic duct stricture that required a relaparotomy. A learning curve has been observed in terms of blood loss during donor hepatectomy. CONCLUSIONS:These results indicate that our approach toward the selection and management of donors was appropriate. Because of the use of meticulous operative techniques, blood loss could also be minimized.
journal_name
Surgeryjournal_title
Surgeryauthors
Soejima Y,Harada N,Shimada M,Suehiro T,Minagawa R,Hiroshige S,Ninomiya M,Shiotani S,Nishizaki Tdoi
10.1067/msy.2002.119576subject
Has Abstractpub_date
2002-01-01 00:00:00pages
S195-9issue
1 Suppleissn
0039-6060issn
1532-7361pii
S0039-6060(02)17934-7journal_volume
131pub_type
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