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Outcome Comparison of Right Hepatectomy for Living Liver Donation Versus for Hepatic Patients Without Cirrhosis.
MedLine Citation:
PMID:  21380632     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Hepatectomy is one of the primary methods used in the treatment of hepatic lesions and liver graft harvesting. However, few studies have evaluated the postoperative recovery process of donor patients and that of normal liver hepatic patients following a right hepatectomy procedure. METHODS: For this current study, the clinical data from the most recent 60 cases of each patient type receiving treatment at West China Hospital (group A [donors] and group B [normal liver hepatic patients]) were retrospectively analysed. Preoperative parameters, intraoperative variables, postoperative complications classified by the Clavien-Dindo classification system, and liver function changes were all statistically analysed and compared. RESULTS: The preoperative parameters of the two groups were comparable. Group A experienced more intraoperative bleeding; however, the average amount of blood transfusion products was similar between the two groups. The overall postoperative surgical morbidity incidence for group A was 31.7% and for group B was 35%, with a p value of 0.699. The total bilirubin level and coagulation functions of group A were worse than what was observed in group B during the early postoperative period. CONCLUSION: Live liver donation via right hepatectomy results in similar complication rates and average blood product use to non-cirrhotic hepatic diseases. However, following the procedure, donor liver function showed greater dysfunction during the early postoperative period.
Authors:
Chuan Li; Kai Mi; Tian-Fu Wen; Lu-Nan Yan; Bo Li
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-5
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  -     ISSN:  1873-4626     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China.
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