Advances in liver transplantationDonation: Donor outcomeChange in Donor Quality of Life After Living Donor Liver Transplantation Surgery: A Single-Institution Experience
Section snippets
Methods
Among the 28 donors who had surgery at our hospital, 21 donors replied to our questionnaire (recovery rate: 75%). Changes in the QOL of donors were examined based on the results of pre- and postoperative (median 10 months after LDLT) SF-36 and POMS and a questionnaire survey.
Eight independent scales were evaluated using the SF-36: physical functioning (PF), physical role limitations, bodily pain (BP), social functioning, general health perceptions, vitality, emotional role limitations, and
Results
The donors studied consisted of 12 males and nine females with a mean age of 43 ± 12 years (median 43 years). Three of the donors (14%) were the recipient's parent, 9 (43%) were the recipient's child, 5 (24%) were the recipient's sibling, and 4 (19%) were the recipient's spouse. Fifteen of the donors (71%) underwent right hepatic lobectomy, 5 (24%) underwent left hepatic lobectomy, and 1 (5%) underwent right posterior hepatic lobectomy. One of the donors developed postoperative biliary
Discussion
LDLT has commonly been used to treat end-stage liver disease. The JLTS report shows that among 3218 LDLT cases until 2004, the recipient 1-year survival rate is 81%, 3-year survival rate is 78%, 5-year survival rate is 76%, and 10-year survival rate is 72%.1 The European Liver Transplant Registry reports a 5-year survival rate following cadaveric liver transplantation of 72%.3 The results of LDLT in Japan have therefore been comparable with the results of cadaveric liver transplantation
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