Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.12, sa.1, ss.59-63, 2004 (Scopus)
The intensive care and hospital stays and complications in 18 living-liver donors were noted and the records were evaluated retrospectively for investigation of the perioperative period in this series. Left hepatectomy in 3 cases, right hepatectomy in 11 cases, left lateral segmentectomy in 4 cases and left lateral segmentectomy with right nephrectomy in 1 case were performed on 18 donors. Mean operative time was 683.9 (405-1200) min and average blood loss was 712.5 (150- 1500) mL for all cases. Whole blood had been transfused to 10 donors. Combined epidural and general anesthesia was performed in 16 cases. Hemodynamic instability was not observed in any of the cases. While extubation was performed in the operation room in 13 cases, 5 cases were extubated in the intensive care unit after average of 8.5 (3.3-11.7) h; all cases were transported to the ward in 19.8 (10-24) h; postoperative epidural analgesia was continued 3 (1-6) days; mean times for mobilization, oral intake and defecation were 1.9 (1-3), 2.5 (1-4) and 3.7 (1-7) days, respectively. All donors were discharged in 11.8 (6-37) days. One intraabdominal abscess, one biliary leakage and one atelectasis developed during the postoperative period and these patients were discharged from hospital uneventfully after medical treatment. In conclusion; the general anesthetic technique was changed to combined general+epidural anesthesia; the cases were extubated in the operating room; the duration of intensive care unit decreased and the patient controlled epidural analgesia was performed routinely with the increased experience of the anesthetic and surgical teams.