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dc.contributor.authorKanya Udomsinen_US
dc.contributor.authorWorakitti Lapisatepunen_US
dc.contributor.authorAnon Chotirosniramiten_US
dc.contributor.authorTrichak Sandhuen_US
dc.contributor.authorVeeravorn Ariyakachonen_US
dc.contributor.authorSuraphong Lorsomradeeen_US
dc.contributor.authorSettapong Boonsrien_US
dc.contributor.authorPhuriphong Chanthimaen_US
dc.contributor.authorWarangkana Lapisatepunen_US
dc.contributor.authorQuanhathai Kaewpoowaten_US
dc.contributor.authorWasana Ko-iamen_US
dc.contributor.authorSudarut Mueanginen_US
dc.contributor.authorWilaiwan Chongruksuten_US
dc.contributor.authorSunhawit Junrungseeen_US
dc.description.abstract© 2019 Elsevier Inc. Background: Deceased donor liver transplantation is a rare procedure in Northern Thailand because of cultural issues. Living donor liver transplantation (LDLT) can decrease waiting list mortality for the patients who have end-stage liver disease. In Thailand, our center is the only active adult-to-adult LDLT program. This study is the first report of outcomes and health-related quality of life in liver donors. Objectives: The aim of this study was to evaluate the postoperative outcomes and health related quality of life in living liver transplant donors at the Transplant Center in Thailand. Materials and methods: All patients undergoing liver resection for adult-to-adult LDLT at our center between March 2010 and July 2018 were evaluated in a cross-sectional study. The effect of donor demographics, operative details, postoperative complications (Clavien-Dindo classification), hospitalization, and health related quality of life was evaluated through health-related quality of life questionnaires (short-form survey, SF–36) Results: A total of 14 donor patients were included in this study with an age range from 26 to 51 years (mean 39.86 years, standard deviation [SD] = 8.59 years). The patients were 71.43% female and 28.57% male. The majority of patients had primary and secondary education (57.14%) and were married (64.29%). After hepatectomy, there was no mortality in the evaluated donors. The Clavien-Dindo classification of postoperative complications were as follows: Grade I (none), Grade II (50%), Grade IIIa (7.14%), and Grade IIIb (7.14%). The serum levels of total protein and albumin were decreased on postoperative day 5. The hospital stays averaged 11.5 days (SD = 4.9 days) and ranged from 5 to 22 days. After considering each aspect of the donors’ postoperative quality of life, the highest mean score was related to physical composite scores in physical roles with a mean of 96.42 (SD = 13.36) and physical function with a mean of 95.35 (SD = 13.36). Moreover, the mental composite scores in social function was the highest mean of 91.96 (SD = 12.60) and role emotion was a mean of 90.47 (SD = 27.51). Conclusions: Living donor hepatectomy was safe, with an acceptable morbidity, and recognized as a safe procedure with an excellent long-term health quality of life.en_US
dc.titleAdult-to-Adult Living Donor Liver Transplantation: Postoperative Outcomes and Quality of Life in Liver Donors: First Report in Thailanden_US
article.title.sourcetitleTransplantation Proceedingsen_US Mai Universityen_US
Appears in Collections:CMUL: Journal Articles

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