Browsing by Author "Inomata,Yukihiro"

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    Age and Donor Safety in Living-Donor Liver Transplant in 110 Consecutive Cases at 1 Institute
    (Başkent Üniversitesi, 2008-09) Ishiko, Takatoshi; Baba, Hideo; Takeitchi, Takayuki; Okajima, Hideaki; Asonuma, Katuhiko; Beppu, Toru; Inomata,Yukihiro
    Objectives: Since Japan began doing living-donor liver transplants, the demographics of living donors, including their age, have changed. We sought to assess the impact of aging on the feasibility and safety of doing a hepatectomy in living donors. Materials and Methods: We analyzed data from 110 consecutive liver donors who had undergone a hepatectomy at our institution. To extract the graft, 34 patients had a lateral segmentectomy, 38 had a left lobectomy, and 38 had a right lobectomy. Results: Mean intraoperative blood loss was significantly greater in older donors (age > 40 years) than it was in younger donors (age ≤ 40 years). In addition, the mean number of days required for the serum albumin level to return to normal after surgery was significantly longer in older donors (34.3 ± 11.9 days vs 17.1 ± 9.7 days). A multivariate analysis showed donor age to be a significant risk factor for prolonged serum albumin recovery. Conclusions: Donor age is a significant factor affecting postoperative liver functioning in the donor.