Authors: Jorge Marcelo Padilla Mancero Adriano Miziara Gonzalez Marcelo Augusto Fontenelle Ribeiro Gilberto Peron Raul Carlos Wahle Francisco Leôncio Dazzi Adávio de Oliveira e Silva Luiz Augusto Carneiro D’Albuquerque
Publish Date: 2010/11/24
Volume: 35, Issue: 2, Pages: 403-408
Abstract
For livingrelated liver transplantation harvesting a right hepatic graft that includes the middle hepatic vein MHV has been recommended to improve venous drainage of the graft However it may result in congestion of the donor’s remaining segment IV increasing the potential risk to the donor This study aimed to compare safety levels for liver donors during procedures with or without removal of the MHVA total of 68 living donor liver transplantations were performed from March 2001 to May 2007 In 39 procedures the MHV was not included in the graft group A and in 29 the MHV was included in the graft group B The analyzed data included surgical time use of blood derivatives length of hospital stay laboratory analyses weight of the graft and clinical complicationsNo differences were observed regarding the need for blood derivatives or laboratory parameters The frequency of postoperative complications was similar in the two groups with 10 cases 256 in group A and 7 cases 241 in group B P = 0887 No deaths were seen The rate of observed complications was 25 among living donors most of them being managed without surgical intervention
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