ĐẶC ĐIỂM KỸ THUẬT VÀ KẾT QUẢ GHÉP GAN TỪ NGƯỜI CHO SỐNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To evaluate the technique features and results of patients with a living donor liver transplantation at Viet Duc University Hospital. Method: retrospective study of cases of living donor liver transplantation from April 2012 to December 2021 at Viet Duc University Hospital. Results: There were 22 patients, mostly men (72.7%), the leading cause was hepatitis B (72.7%), the indications for transplantation was hepatocellular carcinoma (41%) and cirrhosis or acute on chronic liver failure (59%). 100% of grafts were right livers, 27.3% with middle hepatic veins. Hepatic venous reconstruction was performed with a only right hepatic vein anastomosis 18.2%, and the common orifice between right hepatic vein and the middle hepatic vein included with graft 27.3%. Cryopreserved allograft vein were used for hepatic veins reconstruction in 18 patients (81.8%), without using artificial vessels. The complications: pleural effusion (22.7%), biliary fistula/stenosis (18.2%), hepatic vein stenosis complications in 2 patients (9.1%). 90-day mortality rate 13.6%, 5-year survival rate 81.3%. Conclusion: The results show that LDLT is a safe, effective method to get a good survival that can be expanded in experienced centers in Vietnam.