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- W3032277096 abstract "Objective To evaluate the donor safety and clinical outcomes in adult-to-adult living donor hepatectomy with or without middle hepatic vein.Methods From June 2007 to September 2008,78 consecutive cases of living donor hepatectomy were performed by the same surgical team.Seventy-six candidates donated their right lobe liver after thorough donor assessment and precise evaluation of blood vascular and biliary anatomy,and their middle hepatic vein was harvested.Donor demographic data,operative data and liver function after operation were compared.Results Donor remnant liver volume to total liver volume ratio which was calculated by computed tomography was 29.40%～50.99%,and graft weight to recipient body weight ratio was between 0.74 to 1.76.There was no significant difference in donor age,body mass index,operative time,blood loss and transfusion volume,abdominal drainage time and donor recipient survival rate between the middle hepatic vein-harvested group and non-middle hepatic vein-harvested group,and also the peak value of ALT,AST,T-bilirubin and D-bilirubin after operation.There was significant difference in graft weight.actual graft weight to recipient body weight ratio,graft cold preservation time,and the percentage of cases in which the donor's body weight was lower than the recipient's between the middle hepatic vein-harvested group and non-middle hepatic vein-harvested group.Conclusion It was safe to perform right lobe living donor hepatectomy with or without middle hepatic vein after thorough donor assessment and precise evaluation,and the clinical outcome was satisfactory.Key words: Living donors; Liver transplantation; Middle hepatic vein; Hepatectomy" @default.
- W3032277096 created "2020-06-05" @default.
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- W3032277096 date "2009-12-20" @default.
- W3032277096 modified "2023-09-23" @default.
- W3032277096 title "Middle hepatic vein management in adult-to-adult living donor hepatectomy" @default.
- W3032277096 doi "https://doi.org/10.3760/cma.j.issn.0254-1785.2009.12.006" @default.
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