Outcomes of left lobe donor hepatectomy for living donor liver transplantation: A single center experience

Background: The study aim was to evaluate our experience of left lobe donor hepatectomy and to Grade the severity of postoperative complications according to 5-tier Clavien classification system for living donor liver transplantation. Materials and Methods: Between November 2006 and April 2012, datafrom medical records of living liver donors underwent left lobe hepatectomy for LT were revived for study. Results: Sixty adult patients underwent left lobe (segment 2,3,4) donor hepatectomy for LDLT were enrolled for the study. Of 60 patients (30 men/ 30 women) median age was 31.7±8.9 (range, 19-63) years. Totally, 16 complications were observed in 12 of the 60 (20%) donors. Complications developed in 6/15 (40%) donors underwent left hepatectomy and in 6/45 (13.3%) donors underwent left lateral segmentectomy. Seven of 16 complications were Grade I (43.7%), and 2 complications were Grade II (12.5%). Major complications consisted of 4 Grade IIIa (25%), 3 Grade IIIb (18.7%). Grade IVb and Grade V complications were not shown. The most-common complication was biliary, which had seen in 7 donors (11.6%) of total 16 complications (43.7%). The mean follow-up times were 30± 7.1 (range, 2-58 months).There was no donor mortality. Conclusions: In experienced centers, proper living liver donor selection and postoperative intensive care follow-up of healthy subjects with controllable low morbidity can be safely performed left lobe donor hepatectomy for living donor liver transplantation.