COMPLICATIONS IN THE RIGHT-LOBE ADULT LIVING DONOR LIVER TRANSPLANTATION (LDLT)

A153 Introduction: Potencial advantages of LDLT are tempered by the risk of injury or death of a healthy donor Aim: Report morbidity and mortality after right-lobe liver donation Patient and methods: Thirty-nine LDL resections were performed: 18 on the 1st period (March 2000 - December 2001) and 21 on the 2° period (January 2002 -August 2003). One donor operation was aborted due to untreatable peritonitis in the recipient. 27 were men and 12 women. Mean age was 32 ± 8 years. Mean intraoperative blood loss was 953.42 ± 817.71 cc (1st period) and 507.61 ± 266.33 cc (2° period). Mean operative time was 426.67 ± 102.18 minutes (1st period) and 353.42. ± 30.64 minutes (2° period). Mean follow-up was 20 ± 12 months. Results: There was no mortality. Two patients (1st period) required blood transfusion from the blood bank. During the 1st period, major complications in 6 patients included bile leak (4) (two of them required surgery) and pneumonia (2). Four patients had minor complications including urinary infection (2), abdominal wall hernia (1) and wound infection (1). During the 2° period, major complications in 5 patients included bile leak (4) and hepatic vein thrombosis (1). One patient had minor complications (urinary infection). Mean hospital stay was 13 ± 9.5 days (1st period) and 9.6 ± 3.6 days (2° period). Five patients required readmission for bile leaks. Conclusion: With the learning curve, the presence of complications has significantly improved overtime, however, the morbidity continuous being significant