Risk factors affecting the perioperative mortality in right lobe living donor liver transplantation
Onur Yaprak, Necdet Güler, Murat Dayangaç, B. Tolga Demirbaş, Yıldıray Yüzer, Yaman Tokat
Florence Nightingale Hastanesi, Hepatobiliyer Cerrahi ve Organ Nakil Merkezi, İstanbul, Türkiye
Abstract
Purpose: Our aim was to determine the risk factors affecting the perioperative mortality in right lobe living donor liver transplantation.
Patients and Methods: Two hundred right lobe living donor liver transplantations were retrospectively evaluated in our center. The data consisted of patients' age, gender, BMI, MELD and UNOS scores, portal vein thrombosis, creatinin, bilirubin, ascites, ascites infection, bleeding from eosephagus varices, encephalopathy, hepatocellular carcinoma, graft-weight to body-weight ratio and MHV harvesting.
Results: A higher MELD score, lower UNOS score and history of ascites infection were significantly correlated with perioperative mortality.
Conclusion: Our results suggest that, the patients who require intensive care unit treatment before the transplantation and also have cirrhosis complications are associated with high perioperative mortality
Keywords: Perioperative mortality, liver transplantation, risk factors, living liver donor