Abstract

DEL VALLE, Dafne et al. Clinical features and outcome of liver donors for living donor liver transplantation. Gen [online]. 2012, vol.66, n.2, pp.76-80. ISSN 0016-3503.

Background: Liver transplantation is the only therapeutic option for patients with end stage liver disease. Liver transplantation from cadaveric donors is less probable in our country. For all this the living donor liver transplantation program was developed in our country since 2005. Patients and methods: The medical histories of 39 donors were reviewed. Each donor underwent the pretransplant evaluation protocol that includes laboratory, angioTAC, colangioMRI, psychiatric, social evaluation and hepatic biopsy if necesary. Results: we included 39 individuals with ages between 18 and 52 years. Only 9 donors developed complications: 4 intraabdominal collections, 4 wound infections, 2 biliary fistulae, 1 endocarditis, 1 enterocolitis, and 1 patient needed surgery for an intrabdominal collection. No mortality has been registered. 17 left lateral, 15 left and 7 right hepatectomies were done. After 3 months the donors had the same hepatic volume prior to donation surgery. They are all in excellent physical conditions and have returned to their daily activities within a period between 1 and 3 months after donation. Conclusion: The outcome of each donor was satisfactory being able to return to their daily activities in a short term. Living donor liver transplantation is a safe procedure for donors and constitutes an alternative for our patients that need hepatic transplantation.

Keywords : Liver; Transplantation; Living donor.