EFFECT OF PREOPERATIVE ASSESSMENT ON MINIMIZING LIVING DONOR LIVER TRANSPLANTATION DONOR COMPLICATIONS

Abstract

Background: In adult Living donor liver transplantation (LDLT), donor safety is of paramount importance, and ideally, there should not be any donor deaths. Objective: To evaluate the potential donor for Living Donor Liver Transplantation as regard general condition, fitness, liver function and segmental anatomy; and assessment of intra- and postoperative complications up to 6 months post-operatively. Patients and methods: The present study conducted on 200 consecutive cases of living donor liver transplantation over a period of 7 years (2012 to 2018). All patients were admitted at the Department of Transplantation, International Medical Center, Armed Forces Egypt. The study was prospective and designed to evaluate the donors preoperatively, criteria of selection, possible intra-operative and postoperative complications. Results: One hundred and thirty two donors (66%) had grade I complications, 60 donors (30%) had grade II complications, 4 (2%) donors had grade IIIa complication, and 123 (6%) donors had grade IIIb complications. Biliary complications were 12% (24 donors) in the form of biliary leak. Conclusion: Right lobe donor hepatectomy can be performed with an acceptably low incidence of complications. LDLT using the right lobe provides adequate hepatic mass for most adult transplant recipients and gives recipient results similar to conventional cadaveric transplantation.