Clinical Outcomes of and Patient Satisfaction With Different Incision Methods for Donor Hepatectomy in Living Donor Liver Transplantation
Clinical Outcomes of and Patient Satisfaction With Different Incision Methods for Donor Hepatectomy in Living Donor Liver Transplantation
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DOI：
10.1002/lt.24033
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发表时间：
2015-01-01
影响因子：
4.6
通讯作者：
Suh, Kyung-Suk
中科院分区：
文献类型：
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作者：
Suh, Suk-Won;Lee, Kwang-Woong;Suh, Kyung-Suk
随着供者平均年龄的降低和女性供者比例的增加，活体供肝移植(LDLT)中供者的安全和美容成为一些活体供者的主要问题，因为需要一个大的腹部切口，这可能会影响供者的生活质量。总共有429名在2010年4月至2013年2月接受供肝切除的供者被纳入该研究。供体按切口类型分为3组：传统L倒置切口组(C组)2 6 8例，上正中切口组(M组)14 7例，腹腔镜下横切口组(T组)14例。比较了供者和受者的人口学特征、围手术期结果、术后并发症，以及供者对整容外观的满意度。平均年龄较低(P<0.05)。
With the decrease in the average donor age and the increase in the proportion of female donors, both donor safety and cosmetic appearance are major concerns for some living donors in living donor liver transplantation (LDLT) because a large abdominal incision is needed that may influence the donor's quality of life. In all, 429 donors who underwent donor hepatectomy for LDLT from April 2010 to February 2013 were included in the study. Donors were divided into 3 groups based on the type of incision: conventional inverted L incision (n=268; the C group), upper midline incision (n=147; the M group), and transverse incision with laparoscopy (n=14; the T group). Demographics, perioperative outcomes, postoperative complications for donors and recipients, and questionnaire-derived donor satisfaction with cosmetic appearance were compared. The mean age was lower (P