Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety
Background: In this study, we have used the middle hepatic vein with the right lobe, and we studied the venous outflow dynamics immediately after transplant retrospectively meanwhile we studied the impact of the graft function on donor functionality and overall donor safety. Method: Between Octo...
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| Format: | Article |
| Language: | English |
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Sulaimani Polytechnic University
2021-08-01
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| Series: | Kurdistan Journal of Applied Research |
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| Online Access: | https://kjar.spu.edu.iq/index.php/kjar/article/view/632 |
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| author | Mahmoud Ali Abdi Tayeb Sabir Kareem Assad Abidon Hassoun |
| author_facet | Mahmoud Ali Abdi Tayeb Sabir Kareem Assad Abidon Hassoun |
| author_sort | Mahmoud Ali Abdi |
| collection | DOAJ |
| description | Background: In this study, we have used the middle hepatic vein with the right lobe, and we studied the venous outflow dynamics immediately after transplant retrospectively meanwhile we studied the impact of the graft function on donor functionality and overall donor safety.
Method: Between October 2017 to October 2020, we performed 40 adult to adult live donor liver transplants at Zheen International Hospital (Erbil, Kurdistan Region). Postoperative Doppler ultrasound was performed for recipients and donors immediately after surgery and then daily until discharge.
Results: The donor age (28.5 ± 6.9) year, male/ female 19/ 21, intensive care unit stay (1.2 ± 0.43), floor stay (5.2 ± 1.4) days, their portal vein velocity (43.5 ± 18.4 ml/sec), hepatic artery resistive index (0.6 ± 0.09) and triphasic/ continuous venous outflow 30/10, their postoperative day one and at the discharge total serum bilirubin were (2.8 ± 1.8) and (2 ± 1.4), their postoperative day one and at the discharge international normalization ratio were (1.7 ± 0.5) and (1.2 ± 0.2) respectively. The recipient age (48.5 ± 11.3), male/female 27/13, intensive care unit stay (4.75 ± 3.9), floor stay (7.7 ± 3.7) days, portal vein velocity (63.96 ± 24.65 ml/sec), hepatic artery peak systolic velocity (74.76 ± 32.85) hepatic artery resistive index (0.7 ± 0.15), and triphasic/continuous venous outflow 27/13.
Conclusions: Middle hepatic vein incorporation in live donor liver graft is safe with a favorable outcome for recipient and donor, doppler US is one the important tool for evaluation and follow up of donor and recipient for detection of vascular complications and assessment of venous outflow and graft function. In addition, early discharge of the donor is a reasonable option.
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| format | Article |
| id | doaj-art-036ab7f155574bfe9d57576923d4cf0b |
| institution | Kabale University |
| issn | 2411-7684 2411-7706 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | Sulaimani Polytechnic University |
| record_format | Article |
| series | Kurdistan Journal of Applied Research |
| spelling | doaj-art-036ab7f155574bfe9d57576923d4cf0b2025-02-09T20:59:51ZengSulaimani Polytechnic UniversityKurdistan Journal of Applied Research2411-76842411-77062021-08-016110.24017/science.2021.1.14632Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safetyMahmoud Ali Abdi0Tayeb Sabir Kareem1Assad Abidon Hassoun2Digestive Surgery department, College of Medicine, Fellow at Kurdistan Board for Medical Specialization, Zheen International Hospital, Erbil, IraqDepartment of digestive surgery, Hawler Medical University, Kurdistan Board for Medical Specialization, Rizgary Teaching Hospital, Erbil, IraqDepartment of Digestive Surgery, Kurdistan Board for Medical Specialization, General surgery & organ transplant surgeon, Zheen International Hospital, Erbil, IraqBackground: In this study, we have used the middle hepatic vein with the right lobe, and we studied the venous outflow dynamics immediately after transplant retrospectively meanwhile we studied the impact of the graft function on donor functionality and overall donor safety. Method: Between October 2017 to October 2020, we performed 40 adult to adult live donor liver transplants at Zheen International Hospital (Erbil, Kurdistan Region). Postoperative Doppler ultrasound was performed for recipients and donors immediately after surgery and then daily until discharge. Results: The donor age (28.5 ± 6.9) year, male/ female 19/ 21, intensive care unit stay (1.2 ± 0.43), floor stay (5.2 ± 1.4) days, their portal vein velocity (43.5 ± 18.4 ml/sec), hepatic artery resistive index (0.6 ± 0.09) and triphasic/ continuous venous outflow 30/10, their postoperative day one and at the discharge total serum bilirubin were (2.8 ± 1.8) and (2 ± 1.4), their postoperative day one and at the discharge international normalization ratio were (1.7 ± 0.5) and (1.2 ± 0.2) respectively. The recipient age (48.5 ± 11.3), male/female 27/13, intensive care unit stay (4.75 ± 3.9), floor stay (7.7 ± 3.7) days, portal vein velocity (63.96 ± 24.65 ml/sec), hepatic artery peak systolic velocity (74.76 ± 32.85) hepatic artery resistive index (0.7 ± 0.15), and triphasic/continuous venous outflow 27/13. Conclusions: Middle hepatic vein incorporation in live donor liver graft is safe with a favorable outcome for recipient and donor, doppler US is one the important tool for evaluation and follow up of donor and recipient for detection of vascular complications and assessment of venous outflow and graft function. In addition, early discharge of the donor is a reasonable option. https://kjar.spu.edu.iq/index.php/kjar/article/view/632LDLT, MHV, Donor safety, Doppler US, Venous outflow, liver transplant |
| spellingShingle | Mahmoud Ali Abdi Tayeb Sabir Kareem Assad Abidon Hassoun Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety Kurdistan Journal of Applied Research LDLT, MHV, Donor safety, Doppler US, Venous outflow, liver transplant |
| title | Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety |
| title_full | Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety |
| title_fullStr | Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety |
| title_full_unstemmed | Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety |
| title_short | Middle hepatic vein incorporation in live donor liver graft transplantation; implication and safety |
| title_sort | middle hepatic vein incorporation in live donor liver graft transplantation implication and safety |
| topic | LDLT, MHV, Donor safety, Doppler US, Venous outflow, liver transplant |
| url | https://kjar.spu.edu.iq/index.php/kjar/article/view/632 |
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