Right hepatectomy for living donation: Role of remnant liver volume in predicting hepatic dysfunction and complications.

FACCIUTO MARCELO ; CONTRERAS SALDIVAR A; ROCCA JUAN PABLO ; TAOULI B; RUDOW D; GONDOLESI GABRIEL ; SCHIANO THOMAS; KIM SCHLUGER LEONA; SCHWARTZ MYRON; MILLER CHARLES; FLORMAN SANDER

SURGERY.

MOSBY-ELSEVIER

Año: 2013 p. 619 - 626

0039-6060

Extensive attention has been placed on remnant liver volume (RLV) above other factors to ensure donor safety. METHODS: We performed a retrospective review of 137 right hepatectomies in live donors between June 1999 and November 2010. RESULTS: Median right lobe volume was 1,029 cm(3), which correlated with its actual weight (r = 0.63, P < .01); median RLV was 548 cm(3). Of the donors, 32 (24%) developed postoperative hepatic dysfunction (bilirubin >3 mg/dL or prothrombin time >18 s on postoperative day 4). RLV did not predict postoperative hepatic dysfunction (P = .9), but it was associated with peak international normalized ratio (INR) (P = .04). Donor age and male gender were predictors of increased bilirubin at postoperative day 4 (age, P = .03; gender, P = .02). Of the donors, 45 (33%) experienced complications, and 24 donors had RLVs