Table 5.
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.
These complications are not graded.
Bile leaks were defined as persistent bilious drainage beyond 7 days postdonation surgery or a diagnosis of intraabdominal bile collection.
Bile strictures were defined as narrowing of bile ducts based on radiographic assessment.