Operative morbidity of living liver donors in Japan

@article{Umeshita2003OperativeMO,
  title={Operative morbidity of living liver donors in Japan},
  author={Koji Umeshita and Kenji Fujiwara and Kendo Kiyosawa and Masatoshi Makuuchi and Susumu Satomi and Keizo Sugimachi and Koichi Tanaka and Morito Monden},
  journal={The Lancet},
  year={2003},
  volume={362},
  pages={687-690}
}
BACKGROUND Deaths of living liver donors have been reported in western countries, whereas the morbidity and mortality of such donors in Japan, one of the leading countries for living liver transplantation, have not been reported in detail. We aimed to review the operative morbidity and mortality of such donors in Japan. METHODS 1853 donors of 1852 living liver transplants done in 46 liver transplant centres, and registered in the database of the Japanese Liver Transplantation Society, were… 
Donor Complications Associated With Living Donor Liver Transplantation in Japan
TLDR
The accumulated experience indicates a reduction in the incidence of donor complications, especially for right lobe resection, during 18 years of living donor liver transplantation experience in Japan.
Respiratory Complications: A Major Concern after Right Hepatectomy in Living Liver Donors
TLDR
Pulmonary complications are frequent in living liver donors, mainly observed after right hepatectomy, and the particular prevalence of pulmonary embolism should lead to focus on its early diagnosis and prevention.
Effect of graft type on postoperative liver function recovery in living liver donors.
TLDR
Larger grafts produce impaired function in the early postoperative period; however, they do not have a negative effect in the long term, and surgeons must avoid taking large volumes of liver, especially in right-lobe donors.
Donor quality of life after living donor liver transplantation: single-institute experience.
TLDR
In liver donation from a living donor, massive hepatectomy should be avoided and a ratio of GV/SDLV around 50% seems reasonable.
Donor Outcomes in Living Donor Liver Transplantation—Analysis of 275 Donors From a Single Centre in India
TLDR
This large single-center study is the first donor outcome report from India, and the results are comparable to other published donor series.
Intraoperative blood loss is a risk factor for complications in donors after living donor hepatectomy
  • Salleh Ibrahim, Chao-Long Chen, +8 authors Y. Cheng
  • Medicine
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 2006
TLDR
Intraoperative blood loss during graft procurement must be kept low to minimize complications in donors, and the number of segments removed were found to be independent risk factors for donor complications.
Perspectives in Living Donor and Recipient Perioperative Care from Japan
  • H. Segawa
  • Medicine
    International anesthesiology clinics
  • 2006
TLDR
Liver transplantation in Japan almost entirely depends on the liver graft donated from the living donor, and the annual number of brain-dead donors has not increased, despite efforts by procurement organizations and transplant coordinators.
Pregnancy and delivery after partial liver donation for living-donor liver transplantation.
TLDR
The feasibility of pregnancy even soon after donation of the liver for transplantation is reported, the first report about the pregnancy of a donor shortly after donation.
Donor Complications Including the Report of One Death in Right-Lobe Living-Donor Liver Transplantation
TLDR
Right hepatectomy for LDLT may be associated with significant morbidity, including death and it should be performed only by surgeons with great experience.
Documented deaths of hepatic lobe donors for living donor liver transplantation
  • J. Trotter, R. Adam, C. Lo, J. Kenison
  • Medicine
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 2006
TLDR
This analysis provides a source document of all identifiable living liver donor deaths, provides a better estimate of donor death rate, and may provide an impetus for centers with unreported deaths to submit these outcomes to the liver transplantation community.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 18 REFERENCES
A survey of liver transplantation from living adult donors in the United States.
TLDR
Adult-to-adult liver transplantation from a living donor is increasingly performed in the United States but is concentrated in a few large-volume centers.
Living donor liver transplantation for early hepatocellular carcinoma: A life‐expectancy and cost‐effectiveness perspective
TLDR
Living donor liver transplantation (LDLT) offered substantial gains in life expectancy with acceptable cost‐effectiveness ratios when the waiting list exceeds 7 months, and LDLT was cost‐effective in all scenarios of waiting lists exceeding 7 months.
Adult-to-adult transplantation of the right hepatic lobe from a living donor.
TLDR
Living-donor liver transplantation involves the transplantation of the right hepatic lobe of the donor into the recipient after the removal of the entire diseased liver.
Successful liver transplantation from a living donor to her son.
TLDR
This was the first experience with the orthotopic reduced-size liver transplantation technique, which involved the retention of the recipient's inferior vena cava, and the principle of transplanting a portion of the liver from an adult into a child has been accepted in many centers.
The ethics of partial-liver donation.
  • O. Surman
  • Medicine
    The New England journal of medicine
  • 2002
TLDR
Surgical advances now permit each of two donors to provide a lobe of lung to a patient with end-stage lung disease from cystic fibrosis, and it is still not clear exactly how safe it is to donate a large part of one's liver.
Some ethical and psychiatric aspects of right-lobe liver transplantation in the United States and Japan.
TLDR
The authors examine the psychiatric and ethical aspects of right-lobe liver transplantation in light of cultural differences between the United States and Japan.
Transfusion‐associated cancer recurrence and postoperative infection: meta‐analysis of randomized, controlled clinical trials
TLDR
The possibility that perioperative allogeneic transfusion might be associated with an increase in the recurrence rate for resected malignancies was raised in 1981, and this hypothesis was followed by publication of almost 100 observational clinical reports over the ensuing 15 years.
Risk of pulmonary embolism and/or deep venous thrombosis in Asian-Americans.
TLDR
It is suggested that Asians have very low risk of PE/DVT, which may account for US geographic variations in white/non-white risk differences.
Living donor liver transplantation in adults: Outcome in Japan
  • S. Todo, H. Furukawa, M. Jin, T. Shimamura
  • Medicine
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 2000
Key Points
Long‐term complications of living donor liver transplantation
  • J. Renz, J. Roberts
  • Medicine
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 2000
Key Points
...
1
2
...