RESUMO
Basing on retrospective analysis there were studied the rate and severity of complications (in accordance to T92-Dindo classification), ocurred after hepatic fragment resection in 600 living donors in period of 2007 - 2012 yrs. The donors were ageing from 18 to 65 yrs old, 31 yrs at average: there were 259 women and 341 men; body mass index (BMI) from 24 to 36 kg/m2, 27.4 kg/m2 at average; follow-up lasted from 2 to 58 mo, 39 mo at average. In 538 (89.6%) donors a right-sided hemihepatectomy was accomplished, in 19 (3.1%)--left-sided hemihepatectomy, in 43 (7.2%)--left lateral sectorectomy (C(II) - CIII segment). Residual hepatic volume in donors was from 26 to 87%, 37% at average; the operation duration was from 205 to 440 min, 327 min at average; intraoperative blood loss--from 105 to 800 ml, 310 ml at average; a stationary stay have constituted from 5 to 13 days, 7.2 days at average. In 116 (19.3%) donors 187 various complications have occurred, predominantly mild, they were eliminated using conservative treatment. Biliary complications (the bile outflow, biloma, stricture of biliary ducts) were revealed mostly often--in 64 (10.6%) patients. In 34 reoperations were performed. All donors are alive.
