Donor quality of life after living donor liver transplantation: a prospective study

被引:25
作者
Togashi, Junichi [1 ]
Sugawara, Yasuhiko [1 ]
Tamura, Sumihito [1 ]
Yamashiki, Noriyo [2 ]
Kaneko, Junichi [1 ]
Aoki, Taku [1 ]
Hasegawa, Kiyoshi [1 ]
Beck, Yoshifumi [1 ]
Makuuchi, Masatoshi [3 ]
Kokudo, Norihiro [1 ]
机构
[1] Univ Tokyo, Artificial Organ & Transplantat Surg Div, Dept Surg, Grad Sch Med,Bunkyo Ku, Tokyo 1138655, Japan
[2] Univ Tokyo, Organ Transplantat Serv, Bunkyo Ku, Tokyo 1138655, Japan
[3] Japanese Red Cross Med Ctr, Dept Surg, Shibuya Ku, Tokyo 1508935, Japan
关键词
Quality of life; Health-related quality of life; Donor; Living donor liver transplantation; SF-36v2; KIDNEY DONORS; HEPATECTOMY; INCISION; NEPHRECTOMY; MORBIDITY; JAPAN;
D O I
10.1007/s00534-010-0340-y
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
It is important to determine the health-related quality of life of live donors in liver transplantation. We reviewed 35 live liver donors and prospectively and longitudinally evaluated their health-related quality for 1.5 years post-surgery based on the Short Form-36 version 2 questionnaire. Scores of the donors stratified by the clinical data were analyzed. The study was approved by the University of Tokyo Institutional Review Board (No. 1533). There was no donor mortality in the donor population studied. The percentage of major complications greater than Clavien's classification grade III was 8.6%. The physical component summary score decreased to 42.9 (p < 0.01) at 3 months, but recovered within 6 months after the operation. The mental component summary scores did not change during the observation period. The stratification study revealed that age and postoperative complications remained significant factors among the high physical component summary scores 3 months after the operation. The findings from this survey suggest that liver harvesting does not decrease the donor's quality of life during the 1.5 years following the surgery.
引用
收藏
页码:263 / 267
页数:5
相关论文
共 23 条
[1]   Mini-incisions by lombotomy or subcostal access in living kidney donors: a randomized trial comparing pain, safety, and quality of life [J].
Aguiar, Wilson Ferreira ;
Passerotti, Carlo Camargo ;
De Almeida Claro, Joaquim Francisco ;
Almeida, Claudio Jose Ramos ;
Gattas, Nelson ;
Cedenho, Agnaldo Pereira ;
Pestana, Jose Osmar Medina ;
Ortiz, Valdemar .
CLINICAL TRANSPLANTATION, 2007, 21 (02) :269-276
[2]   The first donor death after living-related liver transplantation in Japan [J].
Akabayashi, A ;
Slingsby, BT ;
Fujita, M .
TRANSPLANTATION, 2004, 77 (04) :634-634
[3]   Donor quality of life before and after adult-toadult right liver live donor liver transplantation [J].
Chan, See Ching ;
Liu, Chi Leung ;
Lo, Chung Mau ;
Lam, Banny K. ;
Lee, Evelyn W. ;
Fan, Sheung Tat .
LIVER TRANSPLANTATION, 2006, 12 (10) :1529-1536
[4]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[5]   2509 living donor nephrectomies, morbidity and mortality, including the UK introduction of Laparoscopic donor surgery [J].
Hadjianastassiou, V. G. ;
Johnson, R. J. ;
Rudge, C. J. ;
Mamode, N. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2007, 7 (11) :2532-2537
[6]   A comparison of surgical outcomes and quality of life surveys in right lobe vs. left lateral segment liver donors [J].
Humar, A ;
Carolan, E ;
Ibrahim, H ;
Horn, K ;
Larson, E ;
Glessing, B ;
Kandaswamy, R ;
Gruessner, RW ;
Lake, J ;
Payne, WD .
AMERICAN JOURNAL OF TRANSPLANTATION, 2005, 5 (04) :805-809
[7]  
*JAP LIV TRANSPL S, 2006, ISHOKU, V41, P599
[8]   Living-related liver transplantation from the view of the donor:: A 1-year follow-up survey [J].
Karliova, M ;
Malagó, M ;
Valentin-Gamazo, C ;
Reimer, J ;
Treichel, U ;
Franke, GH ;
Nadalin, S ;
Frilling, A ;
Gerken, G ;
Broelsch, CE .
TRANSPLANTATION, 2002, 73 (11) :1799-1804
[9]   Upper Midline Incision for Living Donor Right Hepatectomy [J].
Kim, Seong Hoon ;
Cho, Seong Yeon ;
Lee, Kwang Woong ;
Park, Song-Jae ;
Han, Sung-Sik .
LIVER TRANSPLANTATION, 2009, 15 (02) :193-198
[10]   Psychosocial and physical impairment after mini-incision open and laparoscopic donor nephrectomy: A prospective study [J].
Kok, Niels F. M. ;
Alwayn, Ian P. J. ;
Tran, Khe T. C. ;
Hop, Wim C. J. ;
Weimar, Willem ;
IJzermans, Jan N. M. .
TRANSPLANTATION, 2006, 82 (10) :1291-1297