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Article: Safety donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors
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TitleSafety donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors
 
AuthorsLiu, CL1 1
Fan, ST1 1
Lo, CM1 1
Chan, SC1 1
Yong, BH1 1
Wong, J1 1
 
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
2012 Impact Factor: 3.944
2012 SCImago Journal Rankings: 1.457
 
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
2012 Impact Factor: 3.944
2012 SCImago Journal Rankings: 1.457
 
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.rightsSpecial Statement for Preprint only Before publication: 'This is a preprint of an article accepted for publication in [The Journal of Pathology] Copyright © ([year]) ([Pathological Society of Great Britain and Ireland])'. After publication: the preprint notice should be amended to follows: 'This is a preprint of an article published in [include the complete citation information for the final version of the Contribution as published in the print edition of the Journal]' For Cochrane Library/ Cochrane Database of Systematic Reviews, add statement & acknowledgement : ‘This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 20XX, Issue X. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.’ Please include reference to the Review and hyperlink to the original version using the following format e.g. Authors. Title of Review. Cochrane Database of Systematic Reviews 20XX, Issue #. Art. No.: CD00XXXX. DOI: 10.1002/14651858.CD00XXXX (insert persistent link to the article by using the URL: http://dx.doi.org/10.1002/14651858.CD00XXXX) (This statement should refer to the most recent issue of the Cochrane Database of Systematic Reviews in which the Review published.)
 
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 donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors
 
dc.typeArticle
 
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<contributor.author>Fan, ST</contributor.author>
<contributor.author>Lo, CM</contributor.author>
<contributor.author>Chan, SC</contributor.author>
<contributor.author>Yong, BH</contributor.author>
<contributor.author>Wong, J</contributor.author>
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<description.abstract>Although 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 &#169; 2005 by the American Association for the Study of Liver Diseases.</description.abstract>
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<publisher>John Wiley &amp; Sons, Inc. The Journal&apos;s web site is located at http://www3.interscience.wiley.com/cgi-bin/jtoc/106570021</publisher>
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<rights>Liver Transplantation. Copyright &#169; John Wiley &amp; Sons, Inc.</rights>
<rights>Special Statement for Preprint only

Before publication:
&apos;This is a preprint of an article accepted for publication in [The Journal of Pathology] Copyright &#169; ([year]) ([Pathological Society of Great Britain and Ireland])&apos;. 

After publication: the preprint notice should be amended to follows: 
&apos;This is a preprint of an article published in [include the complete citation information for the final version of the Contribution as published in the print edition of the Journal]&apos;

For Cochrane Library/ Cochrane Database of Systematic Reviews, add statement &amp; acknowledgement :

&#8216;This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 20XX, Issue X. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.&#8217; Please include reference to the Review and hyperlink to the original version using the following format e.g. Authors. Title of Review. Cochrane Database of Systematic Reviews 20XX, Issue #. Art. No.: CD00XXXX. DOI: 10.1002/14651858.CD00XXXX (insert persistent link to the article by using the URL: http://dx.doi.org/10.1002/14651858.CD00XXXX)

(This statement should refer to the most recent issue of the Cochrane Database of Systematic Reviews in which the Review published.)</rights>
<subject.mesh>Hepatectomy - adverse effects - methods</subject.mesh>
<subject.mesh>Liver Transplantation</subject.mesh>
<subject.mesh>Living Donors</subject.mesh>
<subject.mesh>Postoperative Complications - classification - epidemiology</subject.mesh>
<subject.mesh>Tissue and Organ Harvesting - adverse effects - methods</subject.mesh>
<title>Safety donor right hepatectomy without abdominal drainage: A prospective evaluation in 100 consecutive liver donors</title>
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Author Affiliations
  1. The University of Hong Kong