Outcome of Living Donor Hepatectomy for Pediatric Liver Transplantation: Report of 100 Cases at Ramathibodi Hospital

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Published: Jan 6, 2017
Keywords:
living donor liver donor pediatric liver transplantation complication

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Nuttapon Arpornsujaritkun
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Surasak Leelaudomlipi
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Abhasnee Sobhonslidsuk
Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Somkit Mingphruedhi
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Sutipong Jongjirasiri
Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Pongphob Intaraprasong
Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Panuwat Lertsithichai
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Bundit Sakulchairungreung
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Goragoch Gesprasert
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Veeravorn Ariyakhagorn
Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand/ Bamrungrad International Hospital, Bangkok, Thailand
Suthus Sriphojanart
Department of surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Abstract

Background: Liver transplantation (LT) is the standard treatment for end-stage liver disease, early-stage hepatocellular carcinoma and acute liver failure in adults and children. The shortage of donor organ is a barrier of decease donor LT, resulting in a high waiting-list mortality. Living donor liver transplantation (LDLT) has been performed in Thailand for 20 years to solve this problem.


Objective: We evaluated the clinical outcomes after living donor hepatectomy.


Methods: A retrospective study of living donor who underwent LDLT between 2001 and 2015 was performed. Clavien scoring system was used to grade the severity of complications.


Result: One hundred living donors donated their parts of the livers, left lateral segment or left lobe, to their children. The operation was performed by one operative team. Complications did not occur in 91 donors. The common complications were wound problems (6%), bile leakage (2%) and bile duct injury (1%).Two donors required hospital readmission. Donor mortality is zero in 100 cases.


Conclusions:  Living donor hepatectomy for pediatric recipients was associated with a low complication rate in an experience team.  Good operative planning may decrease the complication rate. 


 

Article Details

How to Cite
1.
Arpornsujaritkun N, Leelaudomlipi S, Sobhonslidsuk A, Mingphruedhi S, Jongjirasiri S, Intaraprasong P, Lertsithichai P, Sakulchairungreung B, Gesprasert G, Ariyakhagorn V, Sriphojanart S. Outcome of Living Donor Hepatectomy for Pediatric Liver Transplantation: Report of 100 Cases at Ramathibodi Hospital. Rama Med J [Internet]. 2017 Jan. 6 [cited 2024 Apr. 20];39(4):217-24. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/80454
Issue
Vol. 39 No. 4 (2016): October-December
Section
Original Articles

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