Korean J Transplant.  2022 Nov;36(Supple 1):S367. 10.4285/ATW2022.F-5084.

Complication of donor right hepatectomy for living donor right hepatectomy: a single Mongolian center experience

• Amankyeldi Y
• Radnaabazar M
• Byambaragchaa M
• Chogsom M
• Batdelger A

• KMID: 2535237
• DOI: http://doi.org/10.4285/ATW2022.F-5084

Abstract

Background
This study aims to evaluate living donor outcome after right hepatectomy in a single Mongolian center. Living liver donation is one of the most selfless and humane acts a person can perform. Few single-center reports have been published specifically evaluating complications and quality of life post donation.
Methods
Between from January 2018 to February 2022, 37 living donor right hepatectomy underwent at National Cancer Center of Mongolia. A retrospectively analyzed peri and postoperative complications and outcome of 37 donors. We were classified their complications by Clavien grade.
Results
In our center all living donors underwent right hepatectomy. There were 24 males and 13 females. Mean age was 34 years. The mean intensive care unit stay were 2.7 and 11.4 days. A total of 51 complications developed in 37 donors. The com-monest complications were biliary complications, postoperative bleeding and ascites. There were 30 grade I, 5 grade II, 4 grade IIIa, 10 grade IIIb (5 postoperative intraabdominal bleeding, 5 biliary leakage [2 endoscopic retrograde cholangiopancreatography stenting, 3 endoscopic nasobiliary drainage]), 1 grade IVa (liver failure), and 1 grade IVb (biliary leakage with hepato-jejunostomy) complications. On follow-up, no donor developed long lasting disability.
Conclusions
In our single center study biliary complications were higher. Donor right hepatectomy itself is risky, it is important to assess the patient well. Recently, we have been confirming donors by taking biopsies, liver function tests and indocyanine green clearance for a dynamic assessment of liver function.