Clinical analysis of donor hepatectomy and postoperative management in 22 cases of living donor liver transplantation        WANG Dong，LI Guang-ming，ZHU Ji-ye，et al. Department of Hepatobiliary Surgery，Peking University People’s Hospital，Peking University Center of Transplantation，Beijing 100044，China
Corresponding author: ZHU Ji-ye, E-mail: gandanwk@vip.sina.com
Abstract    Objective    To improve the safety of donor surgery and enhance the postoperative management of liver donors in living donor liver transplantation (LDLT). Methods    The clinical data was retrospectively analyzed in 22 cases of LDLT donnor surgery were performed from February 2003 to June 2009 in Peking University People’s Hospital,preoperative evaluation, surgical technigue, postoperative complications and outcome were retrospectively analyzed. Results    Three steps of preoperative evaluation were used, Ultrasonic Dissector (CUSA) was applied in donor hepatectomy and all of the donors were followed up after operation. Totally, 2 left lateral hepatic lobes, 6 cases of left hepatic lobes, 1 extended left hepatic lobe, 5 right hepatic lobes and 8 cases of extended right hepatic lobes were harvested. No complication except 1 case of intra-abdominal bleeding, 1 case of hydrothorax and 1 case of ecchymoma was found. Hepatic function restored to normal soon and no death occured. Conclusion    Strict preoperative evaluation, precise surgical technique and routine follow up are guarantees of donor safety in LDLT.