DONOR HEPATECTOMY FOR LIVING - DONOR LIVER-TRANSPLANTATION

Between September 1993 and November 1996, donor hepatectomy was perfor med in 22 living donor liver transplantation al Queen Mary Hospital, H ong Kong. In these donor operations, 7 extended right lobe grafts, 6 e xtended left lobe grafts and 9 left lateral segment grafts were obtain ed. The technique of-donor operations consisted of-initial hilar disse ction, mobilization of the liver lobe, transection of the liver using ultrasonic dissector (without inflow or outflow vascular occlusion) at a plane on the left side of the middle hepatic vein for an extended r ight Lobe graft, on the right side of-the middle hepatic vein for an e x:tended Left lobe graft or on the right-side of falciform ligament fo r a left Lateral segment graft. The median blood loss was 775 mi. Comp lications occurred in 2 donors: one had incisional hernia and the othe r had biliary stricture. Both were treated successfully by re-operatio n. Currently all donors are well with completely normal liver biochemi stry.