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Article: Safety of donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors
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TitleSafety of donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors
 
AuthorsLiu, CL1
Fan, ST1
Lo, CM1
Chan, SC1
Yong, BH1
Wong, J1
 
Issue Date2005
 
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jtoc/106570021
 
CitationLiver Transplantation, 2005, v. 11 n. 3, p. 314-319 [How to Cite?]
DOI: http://dx.doi.org/10.1002/lt.20359
 
AbstractAlthough the role of routine abdominal drainage after liver resection for tumors has been questioned, abdominal drainage after donor right hepatectomy for live donor liver transplantation (LDLT) has been a routine practice in most transplant centers. The present study aimed to evaluate the safety of the procedure without abdominal drainage. A prospective study was performed on 100 consecutive liver donors who underwent right hepatectomy for LDLT from July 2000 to September 2003. Biliary anatomy was carefully studied with intraoperative cholangiography using fluoroscopy. The middle hepatic vein was included in the graft in all except 1 patient. Parenchymal transection was performed using an ultrasonic dissector. The right hepatic duct was transected at the hilum and the stump was closed with 6-O polydioxanone continuous suture. Absence of bile leakage was confirmed with methylene blue solution instilled through the cystic duct stump. The abdomen was closed after careful hemostasis without drainage in all donors. The median age of the donors was 36 years (range 18-56 years). Median operative blood loss and operating time were 350 mL (range 42-1,400 mL) and 7.5 hours (range 5.2-10.7 hours), respectively. None of the donors required any blood or blood product transfusion. There was no operative mortality. The median postoperative hospital stay was 8 days (range 5-30 days). Postoperative morbidity occurred in 19 patients (19%), most of which were minor complications. No donor experienced bile leakage, intraabdominal bleeding, or collection. None required surgical, radiologic, or endoscopic intervention for postoperative complications, except for 1 donor who developed late biliary stricture that required endoscopic dilatation. All donors were well with a median follow-up of 32 months (range 11-50 months). In conclusion, with detailed study of the biliary anatomy and meticulous surgical technique, donor right hepatectomy can be safely performed without abdominal drainage. Abdominal drainage is not a mandatory procedure after donor hepatectomy in LDLT. Copyright © 2005 by the American Association for the Study of Liver Diseases.
 
ISSN1527-6465
2013 Impact Factor: 3.793
 
DOIhttp://dx.doi.org/10.1002/lt.20359
 
ISI Accession Number IDWOS:000227297500009
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLiu, CL
 
dc.contributor.authorFan, ST
 
dc.contributor.authorLo, CM
 
dc.contributor.authorChan, SC
 
dc.contributor.authorYong, BH
 
dc.contributor.authorWong, J
 
dc.date.accessioned2010-09-06T08:50:39Z
 
dc.date.available2010-09-06T08:50:39Z
 
dc.date.issued2005
 
dc.description.abstractAlthough the role of routine abdominal drainage after liver resection for tumors has been questioned, abdominal drainage after donor right hepatectomy for live donor liver transplantation (LDLT) has been a routine practice in most transplant centers. The present study aimed to evaluate the safety of the procedure without abdominal drainage. A prospective study was performed on 100 consecutive liver donors who underwent right hepatectomy for LDLT from July 2000 to September 2003. Biliary anatomy was carefully studied with intraoperative cholangiography using fluoroscopy. The middle hepatic vein was included in the graft in all except 1 patient. Parenchymal transection was performed using an ultrasonic dissector. The right hepatic duct was transected at the hilum and the stump was closed with 6-O polydioxanone continuous suture. Absence of bile leakage was confirmed with methylene blue solution instilled through the cystic duct stump. The abdomen was closed after careful hemostasis without drainage in all donors. The median age of the donors was 36 years (range 18-56 years). Median operative blood loss and operating time were 350 mL (range 42-1,400 mL) and 7.5 hours (range 5.2-10.7 hours), respectively. None of the donors required any blood or blood product transfusion. There was no operative mortality. The median postoperative hospital stay was 8 days (range 5-30 days). Postoperative morbidity occurred in 19 patients (19%), most of which were minor complications. No donor experienced bile leakage, intraabdominal bleeding, or collection. None required surgical, radiologic, or endoscopic intervention for postoperative complications, except for 1 donor who developed late biliary stricture that required endoscopic dilatation. All donors were well with a median follow-up of 32 months (range 11-50 months). In conclusion, with detailed study of the biliary anatomy and meticulous surgical technique, donor right hepatectomy can be safely performed without abdominal drainage. Abdominal drainage is not a mandatory procedure after donor hepatectomy in LDLT. Copyright © 2005 by the American Association for the Study of Liver Diseases.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationLiver Transplantation, 2005, v. 11 n. 3, p. 314-319 [How to Cite?]
DOI: http://dx.doi.org/10.1002/lt.20359
 
dc.identifier.citeulike5961014
 
dc.identifier.doihttp://dx.doi.org/10.1002/lt.20359
 
dc.identifier.epage319
 
dc.identifier.hkuros97447
 
dc.identifier.isiWOS:000227297500009
 
dc.identifier.issn1527-6465
2013 Impact Factor: 3.793
 
dc.identifier.issue3
 
dc.identifier.openurl
 
dc.identifier.pmid15719390
 
dc.identifier.scopuseid_2-s2.0-16244364812
 
dc.identifier.spage314
 
dc.identifier.urihttp://hdl.handle.net/10722/84243
 
dc.identifier.volume11
 
dc.languageeng
 
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jtoc/106570021
 
dc.publisher.placeUnited States
 
dc.relation.ispartofLiver Transplantation
 
dc.relation.referencesReferences in Scopus
 
dc.rightsLiver Transplantation. Copyright © John Wiley & Sons, Inc.
 
dc.subject.meshHepatectomy - adverse effects - methods
 
dc.subject.meshLiver Transplantation
 
dc.subject.meshLiving Donors
 
dc.subject.meshPostoperative Complications - classification - epidemiology
 
dc.subject.meshTissue and Organ Harvesting - adverse effects - methods
 
dc.titleSafety of donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong