Surgical Complications in 100 Donor Hepatectomies for Living Donor Liver Transplantation in a Single Brazilian Center

Long-Term Follow-Up After Right Hepatectomy for Adult Living Donation and Attitudes Toward the Procedure

“…6,27 Some consider donor morbidity rates of 37% 31 and grade 3 complications of over 30% 32 as "safe." 31,32 Even more troubling is the fact that the extended long-term outcome of donors remains unknown. 27…”

Gastric Volvulus Complicates the Hepatectomy for Living Donor Liver Transplantation

“…Postoperative follow-up complication must be as thorough as the extensive preoperative selection evaluation. In the literature reports, the overall donor complication rates, ranges between 13% to 75% [3], according to the classification proposed by Clavien-Dindo [4]. The main reasons are linked to wound infections and bile leaks.…”

Living Donor Liver Transplantation

“…Donor morbidity is influenced by variables including center experience, extent and technique of hepatic resection, anatomic factors, and general health of the donor (Fernandes R, et al, 2010). The lack of a standardized assessment of perioperative complications is a limitation to the analysis of donor-related morbidity.…”

“…Although acute vascular events can be reversible with immediate intervention (usually surgical), the patient should be listed for transplantation because survival in acute liver failure is directly related to the timing of liver replacement before the development of multiorgan failure or neurological injury (Fernandes R, et al, 2010;Dindo D et al, 2004).…”

“…The presence of a concomitant complication like bile leak, infection, or bleeding may exacerbate the poor recovery in a small-for-size liver. Treatment of small-for-size syndrome is supportive care and avoidance of further injury to the remnant (Fernandes R et al, 2010).…”