Surgery-Related Morbidity in Living Donors for Liver Transplantation

Surgery-Related Morbidity in Living Donors for Liver Transplantation
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DOI:
10.1097/tp.0b013e3181d66c55
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发表时间:
2010-05-27
期刊:
影响因子:
6.2
通讯作者:
Uemoto, Shinji
Uemoto, Shinji
中科院分区:
医学2区
文献类型:
--
作者:
Iida, Taku;Ogura, Yasuhiro;Uemoto, Shinji

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介绍。相当比例的活体肝移植捐献者会出现并发症。本研究对1000余例肝移植活体捐献者的手术相关发病率进行了调查。方法。对1990年6月至2007年8月期间的供体发病情况进行回顾性分析,并按移植物类型和时间段进行分类。使用 Clavien 评分系统对并发症的严重程度进行分级。结果。研究期间,1262名活体捐献者接受了肝移植捐献手术。捐赠者按移植物类型分为两组:RG组(n=500),包括右叶移植物和延伸右叶移植物;LG组(n=762),包括非右叶移植物。 RG组总体并发症发生率显着高于LG组(44.2% vs. 18.8%,P
Introduction. Complications occur in a considerable proportion of living donors for liver transplantation. In this study, the surgery-related morbidity in living donors for more than 1000 liver transplantations was investigated.Methods. The donor morbidity between June 1990 and August 2007 was analyzed retrospectively and classified by the graft type and time period. The complication severity was graded using the Clavien scoring system.Results. During the study period, 1262 living donors underwent donor operations for liver transplantation. The donors were divided into two groups by the graft type: group RG (n=500), comprising right and extended right lobe grafts, and group LG (n=762), comprising non-right lobe grafts. The overall complication rate was significantly higher in group RG than that in group LG (44.2% vs. 18.8%, P