Living donor liver transplantation: complications in donors and interventional management

TitleLiving donor liver transplantation: complications in donors and interventional management
Publication TypeJournal Article
Year of Publication2004
AuthorsLee SY, Ko GY, Gwon DI, Song HY, Lee SG, Yoon HK, Sung KB
JournalRadiology
Volume230
Issue2
Pagination443 - 9
Date PublishedFeb
ISSN0033-8419 (Print) 0033-8419 (Linking)
Accession Number14699180
Keywords*Liver Transplantation, *Living Donors, *Tissue and Organ Harvesting, Adolescent, Adult, Angiography, Balloon Dilatation / methods, Biliary Fistula / diagnosis / therapy, Cholangiography, Cholestasis / diagnosis / therapy, Drainage / methods, Embolization, Therapeutic / methods, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications / diagnosis / *therapy, Postoperative Hemorrhage / diagnosis / therapy, Radiology, Interventional / *methods, Stents, Suction / methods, Tomography, X-Ray Computed, Ultrasonography, Interventional / *methods
Abstract

PURPOSE: To evaluate the incidence of postoperative complications in liver donors and the efficacy of interventional management for treating these complications. MATERIALS AND METHODS: The study included 386 consecutive donors: 219 donors underwent right lobectomy or segmentectomy and 167 donors underwent left lobectomy or segmentectomy. Postoperative status, laboratory data, and radiologic images were reviewed for postoperative complications. Interventional management consisted of percutaneous drainage, ultrasonographic (US)-guided aspiration, percutaneous transhepatic biliary drainage (PTBD) and balloon dilation, transcatheter arterial embolization, or portal vein stent placement. Technical success, clinical improvement, and complications were documented following intervention. RESULTS: In 52 (13.5%) donors, 56 postoperative complications were encountered, including pleural effusion (n = 9), biliary leakage (n = 6), biliary obstruction (n = 5), intraperitoneal abscess (n = 5), active bleeding (n = 5), portal vein stenosis or kink (n = 3), biloma (n = 2), and other complications (n = 21). Complications occurred in 41 (18.9%) right lobe and 11 (7.0%) left lobe donors (P <.001 twenty-seven="" complications="" were="" treated="" with="" interventional="" management="" drainage="" n="10;" us-guided="" aspiration="" ptbd="" and="" balloon="" dilation="" transcatheter="" arterial="" embolization="" stent="" placement="" resolved="" completely.="" no="" procedure-related="" occurred.="" in="" one="" donor="" venous="" oozing="" arteriographic="" images="" did="" not="" show="" an="" active="" bleeding="" focus="" thus="" control="" failed.="" the="" remaining="" using="" medical="" or="" surgical="" management.="" acute="" renal="" failure="" has="" far="" been="" hemodialysis.="" conclusion:="" although="" from="" liver="" donation="" are="" uncommon="" most="" minor="" have="" long-term="" sequelae.="" seems="" useful="" treatment="" of="" postoperative="" donation.="">
DOI10.1148/radiol.2302021318 2302021318 [pii]
Notify Library Reference ID883

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