ArticleHepatobiliary surgery and nutrition2019
Bilateral proficiency over time leads to reduced donor morbidity in living donor hepatectomy.
Article in Hepatobiliary surgery and nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Improving Safety in Living Liver Donation: Lessons From Intraoperative Adverse Events in 438 Donors Undergoing a Left Liver Resection.Transplantation direct · 2023Article
- A Western World Perspective of Survival Benefit of Living Donor Liver Transplantation: A Commentary to the Article by Jackson et al. Published in JAMA Surgery.Transplant international : official journal of the European Society for Organ Transplantation · 2022Article
- Bilateral proficiency over time leads to reduced donor morbidity in living donor hepatectomy.Hepatobiliary surgery and nutrition · 2020Article
- Prudent use of a left hepatic graft in adult-to-adult living donor liver transplantation: aiming for further securing donors' safety.Hepatobiliary surgery and nutrition · 2020Article
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough left-lobe donation is considered safer, right-sided donor hepatectomy predominates in adult living donor liver transplantation (LDLT). We hypothesized that bilateral proficiency with donor hepatectomy reduces overall donor complications.
methodsA retrospective review of 834 adult LDLT donors (221 left lobes) from January 2004 to December 2014 was performed, dividing cases into two eras based on left-graft experience. Donor complications within 6 months were investigated, focusing on graft side and surgical era.
resultsThe overall complication rate was 17.6%, and was higher in right-lobe donors. In Era 2, during which left-lobe donation rates were three times higher, total complications decreased (14.7%
conclusionsAccumulating experience with bilateral donor hepatectomy leads to decreased donor morbidity and comparable outcomes for right and left lobes, further enhancing the goal of donor safety while balancing recipient needs.
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