Effect of Middle Hepatic Vein Tributaries Preserving Technique Until Just Before Graft Retrieval on Donors’ Surgical Outcomes in Living Donor Liver Transplantation

Koji Miyazawa, S. Miyagi, C. Nakanishi, Yasuyuki Hara, K. Tokodai, W. Nakanishi, S. Uematsu, K. Shimizu, M. Goto, T. Kamei, M. Unno

Research output: Contribution to journalArticle

Abstract

Background: The technique of preserving the major tributaries of the middle hepatic vein (MHV) (V5 and V8) until just before graft retrieval is beneficial to minimize congestion time of the graft. However, it remains unclear whether this technique exerts a burden on donors in terms of operative time, blood loss, and postoperative hepatic dysfunction. In this study we investigated adverse effects of the MHV tributaries preserving technique until immediately before graft retrieval on donors’ surgical outcomes. Methods: Data from 71 donors who underwent right hepatectomy without MHV for a liver transplantation at our hospital from January 2002 to August 2016 were retrospectively reviewed. Donors were divided into 3 groups as follows: group 1 (n = 12), no MHV tributary reconstruction; group 2 (n = 33), single MHV tributary reconstruction; group 3 (n = 26), 2 or 3 MHV tributaries reconstruction. Donor operation time, blood loss, proportion of the remnant liver, maximum postoperative total bilirubin, aspartate aminotransferase, alanine transaminase, minimum platelets, prothrombin time, albumin level, number of days in hospital from surgery to discharge, and surgical complications were compared. Results: Compared with groups 2 and 3, group 1 exhibited shorter average operational time and less average blood loss, but the difference was not significant. Comparisons of all other factors indicated no significant differences. Conclusion: The technique of preserving the major tributaries of the MHV until just immediately before graft retrieval does not appear to impose an apparent burden on donors.

Original languageEnglish
Pages (from-to)2636-2639
Number of pages4
JournalTransplantation Proceedings
Volume50
Issue number9
DOIs
Publication statusPublished - 2018 Nov

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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