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. Author manuscript; available in PMC: 2013 Aug 1.
Published in final edited form as: Gastroenterology. 2008 Apr 22;135(2):468–476. doi: 10.1053/j.gastro.2008.04.018

Table 5.

Type and Severity of Complications of Donors With Nonaborted Procedure According to Clavien Grade

Complication No. donors Percent donors Grade 1 Grade 2 Grade 3 Grade 4
Intraoperative
 Intraoperative injurya 4 1.0
 Intraoperative other complicationsa 6 1.5
Biliary
 Bile leakb/biloma 36 9.2 13 22 1
 Biliary stricturec 2 0.5 1 1
Abdominal
 Intraabdominal bleeding 4 1.0 2 2
 Upper/lower GI bleeding 2 0.5 2
 Intraabdominal abscesses 9 2.3 2 6 1
 Ileus 8 2.0 7 1
 Bowel obstruction 5 1.3 3 2
 Incisional hernia 22 5.6 2 16 4
 Wound dehiscence 1 0.3 1
 Unplanned reexploration 12 3.1 1 11
 Complications during surgical reexplorationa 2 0.5
Cardiopulmonary
 Pneumothorax 3 0.8 2 1
 Pleural effusion 21 5.3 18 3
 Pulmonary edema 5 1.3 4 1
 Aspiration 1 0.3 1
 Pulmonary embolism 2 0.5 2
Hepatic
 Ascites 3 0.8 3
 Liver failure 0 0.0
 Hepatic artery thrombosis 0 0.0
 Portal vein thrombosis 2 0.5 1 1
 Inferior vena cava thrombosis 1 0.3 1
Other
 Deep vein thrombosis 0 0.0
 Neuropraxia 16 4.1 12 2 2
Infections (donors may have more than 1 infection) 49 12.5 18 30 1
 Bacteriala 49 12.5
 Virala 2 0.5
 Fungala 1 0.3
Psychologic difficulties 16 4.1 12 2 2
Total 106 103 8 3

NOTE. N = 393. Donors who successfully donated (n = 392) and those with graft resected but not transplanted (n = 1). See Table 1 for Clavien grade. Type and severity of complications include both intraoperative and postoperative.

a

These complications are not graded.

b

Bile leaks were defined as persistent bilious drainage beyond 7 days postdonation surgery or a diagnosis of intraabdominal bile collection.

c

Bile strictures were defined as narrowing of bile ducts based on radiographic assessment.