File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Perpetuating proficiency in donor right hepatectomy for living donor liver transplantation

TitlePerpetuating proficiency in donor right hepatectomy for living donor liver transplantation
Authors
Keywordsliving
Donor hepatectomy
liver transplantation
Issue Date2014
Citation
Asian Journal of Surgery, 2014, v. 37, n. 2, p. 65-72 How to Cite?
AbstractBackground/Objective Donor right hepatectomy (DRH) was developed by master liver surgeons and has been applied in many liver transplant centers as the mainstay for adult living donor liver transplantation. It is a major and complex surgical operation performed on living liver donors for the benefit of liver recipients. The donors deserve the lowest though inevitable morbidity and mortality. In this study, the surgical outcomes of DRH performed by newer surgeons at an established center were studied to assess the transferability of the techniques of this standardized procedure. Methods We studied 450 consecutive DRHs performed by 11 surgeons. Three surgeons initiated and developed the transplant program and performed the first 200 DRHs (Era I). The role of chief surgeon in the following 250 DRHs (Era II) was gradually taken up by four newer surgeons with close guidance initially. Results Blood loss and operation time at the end of Era I versus the beginning of Era II were 251 vs. 341 mL and 391 vs. 497 minutes. The learning curve effect in Era I did not occur in Era II. The complication rates of the last 50 cases in Era I and Era II were 16% and 24%, respectively. Era I had one donor death whereas Era II had no donor death. Conclusion At an established center, DRH can be carried out safely by newer surgeons with good outcomes. Copyright © 2013, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/221358
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, SC-
dc.contributor.authorChan, ACY-
dc.contributor.authorSharr, WW-
dc.contributor.authorChok, KSH-
dc.contributor.authorCheung, TT-
dc.contributor.authorFan, ST-
dc.contributor.authorLo, CM-
dc.date.accessioned2015-11-18T06:09:06Z-
dc.date.available2015-11-18T06:09:06Z-
dc.date.issued2014-
dc.identifier.citationAsian Journal of Surgery, 2014, v. 37, n. 2, p. 65-72-
dc.identifier.issn1015-9584-
dc.identifier.urihttp://hdl.handle.net/10722/221358-
dc.description.abstractBackground/Objective Donor right hepatectomy (DRH) was developed by master liver surgeons and has been applied in many liver transplant centers as the mainstay for adult living donor liver transplantation. It is a major and complex surgical operation performed on living liver donors for the benefit of liver recipients. The donors deserve the lowest though inevitable morbidity and mortality. In this study, the surgical outcomes of DRH performed by newer surgeons at an established center were studied to assess the transferability of the techniques of this standardized procedure. Methods We studied 450 consecutive DRHs performed by 11 surgeons. Three surgeons initiated and developed the transplant program and performed the first 200 DRHs (Era I). The role of chief surgeon in the following 250 DRHs (Era II) was gradually taken up by four newer surgeons with close guidance initially. Results Blood loss and operation time at the end of Era I versus the beginning of Era II were 251 vs. 341 mL and 391 vs. 497 minutes. The learning curve effect in Era I did not occur in Era II. The complication rates of the last 50 cases in Era I and Era II were 16% and 24%, respectively. Era I had one donor death whereas Era II had no donor death. Conclusion At an established center, DRH can be carried out safely by newer surgeons with good outcomes. Copyright © 2013, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.-
dc.languageeng-
dc.relation.ispartofAsian Journal of Surgery-
dc.subjectliving-
dc.subjectDonor hepatectomy-
dc.subjectliver transplantation-
dc.titlePerpetuating proficiency in donor right hepatectomy for living donor liver transplantation-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.asjsur.2013.09.001-
dc.identifier.pmid24210956-
dc.identifier.scopuseid_2-s2.0-84897581923-
dc.identifier.hkuros227149-
dc.identifier.volume37-
dc.identifier.issue2-
dc.identifier.spage65-
dc.identifier.epage72-
dc.identifier.eissn0219-3108-
dc.identifier.isiWOS:000335285600003-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats