O299 Aims: Liver transplant is the only therapy for patients with end stage liver disease. The high success rates of liver transplant associated with a broader list of indications for liver transplant resulted in a increasing lack of donors. In order to overcome the mortality on waiting list living donor liver transplant has become an option. We describe our experience with hepatectomy for living donor liver transplant and report a case of death. Methods: One hundred and thirty two patients underwent hepatectomy for living donor liver transplant from January 2000 through March 2004. Complete four phases preoperative workup was performed in all patients. The age ranged from 14 to 56 year with a median of 30 years. 86 patients(65%) underwent left lateral segmentectomy, 18 patients (13.6%) left lobectomy and 28 patients (21.4%) right hepatectomy. Results: 20 patients (15%) presented some complication. The most comom complications were incisional hernia, pneumonia, biliary fistulae. One patient on the seventh post-operative day developed a fatal cerebral hemorrhage while recovering from a mild liver dysfunction. Conclusions: Living donor liver transplantation is a safe procedure. Serious and fatal complications are eventually associated.
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Wiederkehr et al. (2004) studied this question.