Life-threatening or nearly life-threatening complications in living
ObjectiveTo determine the relationship between a transplant center's experience and life-threatening or nearly life-threatening complications during living donor hepatectomy (LDH). MethodsThe medical records of 1140 patients who underwent LDH were analyzed. To determine the relationship between...
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ftinonuuniv:oai:abakus.inonu.edu.tr:11616/24779 2023-05-15T18:11:35+02:00 Life-threatening or nearly life-threatening complications in living liver donors Onur, A Akbulut, S Dirican, A Isik, B Yilmaz, S 2018 http://hdl.handle.net/11616/24779 unknown http://hdl.handle.net/11616/24779 CLINICAL TRANSPLANTATION 2018 ftinonuuniv 2022-03-28T19:51:22Z ObjectiveTo determine the relationship between a transplant center's experience and life-threatening or nearly life-threatening complications during living donor hepatectomy (LDH). MethodsThe medical records of 1140 patients who underwent LDH were analyzed. To determine the relationship between life-threatening complications and a transplant center's experience, the following comparisons between LDH cases were performed: first 100 vs subsequent 100; first 100 vs subsequent 1040; first 200 vs subsequent 940; right hepatectomy vs left hepatectomy; and first 5years of experience vs subsequent 5years. ResultsA total of 36 life-threatening or nearly life-threatening complications developed in 34 of 1140 (2.98%) healthy individuals undergoing LDH. Of these, 5 occurred intraoperatively, 26 within 1month, and 5 beyond 1month. The most common complications were biliary problems and postoperative bleeding. None of the donors died at follow-up. One donor underwent deceased donor liver transplantation (DDLT) for severe hepatic failure. Only 2 comparisons were significantly different with regard to life-threatening complications: the first 100 vs the subsequent 1040 (P=.03) and the first 200 vs the subsequent 940 (P=.01). ConclusionThis study indicates that the incidence of life-threatening or nearly life-threatening complications are reduced by increased center experience (>200 LDHs). C1 [Akbulut, Sami] Inonu Univ, Fac Med, Dept Surg, Malatya, Turkey. [Akbulut, Sami] Inonu Univ, Fac Med, Liver Transplant Inst, Malatya, Turkey. Other/Unknown Material sami Unknown |
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ObjectiveTo determine the relationship between a transplant center's experience and life-threatening or nearly life-threatening complications during living donor hepatectomy (LDH). MethodsThe medical records of 1140 patients who underwent LDH were analyzed. To determine the relationship between life-threatening complications and a transplant center's experience, the following comparisons between LDH cases were performed: first 100 vs subsequent 100; first 100 vs subsequent 1040; first 200 vs subsequent 940; right hepatectomy vs left hepatectomy; and first 5years of experience vs subsequent 5years. ResultsA total of 36 life-threatening or nearly life-threatening complications developed in 34 of 1140 (2.98%) healthy individuals undergoing LDH. Of these, 5 occurred intraoperatively, 26 within 1month, and 5 beyond 1month. The most common complications were biliary problems and postoperative bleeding. None of the donors died at follow-up. One donor underwent deceased donor liver transplantation (DDLT) for severe hepatic failure. Only 2 comparisons were significantly different with regard to life-threatening complications: the first 100 vs the subsequent 1040 (P=.03) and the first 200 vs the subsequent 940 (P=.01). ConclusionThis study indicates that the incidence of life-threatening or nearly life-threatening complications are reduced by increased center experience (>200 LDHs). C1 [Akbulut, Sami] Inonu Univ, Fac Med, Dept Surg, Malatya, Turkey. [Akbulut, Sami] Inonu Univ, Fac Med, Liver Transplant Inst, Malatya, Turkey. |
author |
Onur, A Akbulut, S Dirican, A Isik, B Yilmaz, S |
spellingShingle |
Onur, A Akbulut, S Dirican, A Isik, B Yilmaz, S Life-threatening or nearly life-threatening complications in living |
author_facet |
Onur, A Akbulut, S Dirican, A Isik, B Yilmaz, S |
author_sort |
Onur, A |
title |
Life-threatening or nearly life-threatening complications in living |
title_short |
Life-threatening or nearly life-threatening complications in living |
title_full |
Life-threatening or nearly life-threatening complications in living |
title_fullStr |
Life-threatening or nearly life-threatening complications in living |
title_full_unstemmed |
Life-threatening or nearly life-threatening complications in living |
title_sort |
life-threatening or nearly life-threatening complications in living |
publishDate |
2018 |
url |
http://hdl.handle.net/11616/24779 |
genre |
sami |
genre_facet |
sami |
op_source |
CLINICAL TRANSPLANTATION |
op_relation |
http://hdl.handle.net/11616/24779 |
_version_ |
1766184228597268480 |