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. 2021 May 1;105(5):1030-1038.
doi: 10.1097/TP.0000000000003335.

Donor Hepatectomy and Implantation Time Are Associated With Early Complications After Liver Transplantation: A Single-center Retrospective Study

Nicholas Gilbo  1   2 , Steffen Fieuws  3 , Nicolas Meurisse  4 , Frederik Nevens  5 , Schalk van der Merwe  5 , Wim Laleman  5 , Chris Verslype  5 , David Cassiman  5 , Hannah van Malenstein  5 , Tania Roskams  6 , Mauricio Sainz-Barriga  1   2 , Jacques Pirenne  1   2 , Ina Jochmans  1   2 , Diethard Monbaliu  1   2
Affiliations

Donor Hepatectomy and Implantation Time Are Associated With Early Complications After Liver Transplantation: A Single-center Retrospective Study

Nicholas Gilbo et al. Transplantation. .

Abstract

Background: Donor hepatectomy and liver implantation time reduce long-term graft and patient survival after liver transplantation. It is not known whether these surgical times influence early outcomes after liver transplantation.

Methods: This single-center study evaluated the effect of donor hepatectomy and implantation time on the risk of nonanastomotic biliary strictures (NAS) occurring within 1 year and of early allograft dysfunction (EAD) after deceased-donor solitary liver transplantation, adjusting for other donors, recipient, and surgical factors.

Results: Of 917 transplants performed between January 2000 and December 2016, 106 (11.56%) developed NAS and 247 (27%) developed EAD. Donor hepatectomy time (median 35 min, IQR: 26-46) was an independent risk factor of NAS [adjusted hazard ratio, 1.19; 95% CI, 1.04-1.35; P = 0.01]. Implantation time (median 80 min, IQR: 69-95) was independently associated with EAD [adjusted odds ratio (OR), 1.15; 95% CI,1.07-1.23; P < 0.0001). The risk of EAD was increased by anastomosis time of both portal vein (adjusted OR, 1.26; 95% CI, 1.12-14.42; P = 0.0001) and hepatic artery (adjusted OR, 1.13; 95% CI, 1.04-1.22; P = 0.005). The magnitude of these effects was similar in donation after circulatory death liver grafts.

Conclusions: Donor hepatectomy and implantation time negatively affect short-term outcomes.

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Conflict of interest statement

The authors declare no funding or conflicts of interest.

Comment in

References

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