93 358

Cited 1 times in

Clinical significance of right hepatectomy along the main portal fissure on donors in living donor liver transplantation

Kim, BW; Park, YK; Xu, W; Wang, HJ; Lee, JM; Lee, K
Transplant international : official journal of the European Society for Organ Transplantation, 25(10):1072-1083, 2012
Journal Title
Transplant international : official journal of the European Society for Organ Transplantation
There might be discordance between inter-lobar borders of the main portal fissure (MPF) using the middle hepatic vein (MHV) and of the portal segmentation. Forty-five living donors who underwent right hepatectomy for the adult recipients from 2007 to 2011 in a tertiary hospital were retrospectively analyzed. The donors were classified into conventional right hepatectomy along the MPF (cRL group, n = 26) and modified right hepatectomy along right-side shifted transection plane from the MPF (mRL group, n = 19). The cRL donors had higher postoperative peak level of INR (1.84 vs. 1.62; P = 0.022), and bilirubin (3.37 mg/dl vs. 2.74 mg/dl; P = 0.065) than the mRL donors. cRL donors experienced greater depression of platelet count (144 per nL vs. 168 per nL; P = 0.042) and enlargement of splenic volume (52% vs. 37%; P = 0.025) than mRL donors for 7 days after hepatectomy. The regeneration of the left lateral sector was more accelerated in the cRL donors than the mRL donors for postoperative 3 months (148% vs. 84%; P = 0.015). There were no differences in the post-transplant graft function, incidence of complications, and graft survival rates between the two groups of recipients (P > 0.05). This study suggests that the conventional right hepatectomy along the MHV might increase donor risk by reducing parenchymal liver volume of the segment IV.
MeSH terms
AdolescentAdultBiopsyFemaleGraft SurvivalHepatectomy/*methodsHepatic Veins/pathologyHumansLiver/radiography/*surgeryLiver Failure/radiography/*therapyLiver Transplantation/*methodsLiving DonorsMaleMiddle AgedRetrospective Studies
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
AJOU Authors
김, 봉완박, 용근왕, 희정이, 재명
Full Text Link
Files in This Item:
There are no files associated with this item.
RIS (EndNote)
XLS (Excel)


해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.