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- W2338474330 abstract "Background: Several large centers have reported outstanding outcomes of LDLT to decrease waiting list mortality. Although the ratio of complications differ widely, Moreover, there is still no consensus on how to define and stratify complications by severity. Aim: Identify and analyze retrospectively the surgical outcome of live liver donor and describe the surgical morbidity according to the grading system of Clavien for the consistent description of surgical complications. Materials and methods: This study retrospectively analyzed the outcomes of 204 consecutive living donor hepatectomies performed between April 2003 to October 2013 using modified Clavien system: Grade I = minor complications; Grade II = potentially life-threatening complications requiring pharmacologic treatment; Grade III = complications requiring invasive treatment; Grade IV = complications causing organ dysfunction requiring ICU management; Grade V = complications resulting in death. Results: They were 129 males (63.2%) & 75 females (36.8%) with the donor's mean age was 27.72 ± 6.4 years with a range of 19–45 years. There were 64 donors (31.4%) who developed postoperative complications totally 74 complications. Ten donors (4.9%) had more than one complication. Twenty-nine (39.2%) donors had Clavien grade I complications, Thirty-eight donors (51.3%) had Clavien grade IIIa, six (8.1%) donors had Clavien grade IIIb complications and there was one (1.4%) case of mortality (Clavien grade V). Conclusions: Donor hepatectomy is a relatively safe procedure, when performed by a dedicated and well-trained team. A prompt diagnosis and meticulous intervention is considered a first priority whenever a donor complication expected. Furthermore, continuous standardized reporting and a comprehensive database to precisely define true donor morbidity." @default.
- W2338474330 created "2016-06-24" @default.
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- W2338474330 date "2016-04-01" @default.
- W2338474330 modified "2023-09-26" @default.
- W2338474330 title "Evaluation of surgical complications in 204 live liver donors according to modified Clavien's system: National Liver Institute experience" @default.
- W2338474330 doi "https://doi.org/10.1016/j.hpb.2016.03.532" @default.
- W2338474330 hasPublicationYear "2016" @default.
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