Outcome of Right Hepatectomy for Living Liver Donors: A Single Egyptian Center Experience

Background: This study aims to evaluate living liver donor outcome after right hepatectomy in a single Egyptian center. Patients and Methods: Between April 2004 and July 2010, 100 living donors underwent right hepatectomy. Their medical records and postoperative follow-up visits were retrospectively revised. Perioperative complications were reported. Postoperative complications were classified according to the five tier version of Clavien system. Results: There were 71 males and 29 females. The mean age was 27. 6 ± 7. 4 years. The mean graft weight was 999 ± 167 g and the mean volume percent of the remaining liver was 36. 8 ± 8%. The mean ICU and hospital stay were 2. 6 ± 2. 7 and 12. 4 ± 9. 1, respectively. A total of 57 complications developed in 38 donors (38%). The commonest complication type was biliary complications. There were 22 grade I, 6 grade II, 15 grade IIIa, 12 grade IIIb, 1 grade IVa, and 1 grade V complications. One donor died due to posttransfusion ARDS on the 30th postoperative day. On follow-up, no donor developed long lasting disability. A donor died in a road traffic accident 1 year after donation. Discussion and Conclusions: Donor right hepatectomy is not an entirely safe procedure. Biliary complications are the commonest early postoperative complications. © 2012 The Society for Surgery of the Alimentary Tract.