چکیده (انگلیسی):

Background/Objective: Donor right hepatectomy (DRH) was developed by master
liver surgeons and has been applied in many liver transplant centers as the mainstay for adult
living donor liver transplantation. It is a major and complex surgical operation performed on
living liver donors for the benefit of liver recipients. The donors deserve the lowest though
inevitable morbidity and mortality. In this study, the surgical outcomes of DRH performed by
newer surgeons at an established center were studied to assess the transferability of the techniques
of this standardized procedure.
Methods: We studied 450 consecutive DRHs performed by 11 surgeons. Three surgeons initiated
and developed the transplant program and performed the first 200 DRHs (Era I). The role
of chief surgeon in the following 250 DRHs (Era II) was gradually taken up by four newer surgeons
with close guidance initially.
Results: Blood loss and operation time at the end of Era I versus the beginning of Era II were
251 vs. 341 mL and 391 vs. 497 minutes. The learning curve effect in Era I did not occur in Era II.
The complication rates of the last 50 cases in Era I and Era II were 16% and 24%, respectively.
Era I had one donor death whereas Era II had no donor death.
Conclusion: At an established center, DRH can be carried out safely by newer surgeons with
good outcomes.