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10 November 2017 : Original article  

Effect and Outcome of Intraoperative Fluid Restriction in Living Liver Donor Hepatectomy

Chih-Hsien Wang1ABCDEF, Kwok-Wai Cheng1BCDE, Chao-Long Chen2AB, Shao-Chun Wu1ABCD, Tsung-Hsiao Shih1ABF, Sheng-Chun Yang1ABF, Ying-En Lee1ABF, Bruno Jawan1ABCDEF, Chiu-En Huang1ABF, Sin-Ei Juang1ABE, Chia-Jung Huang1ABCDEF*

DOI: 10.12659/AOT.905612

Ann Transplant 2017; 22:671-676

Abstract

BACKGROUND: The purpose of this study was to evaluate the effect and outcome of intraoperative fluid restriction in living liver donor hepatectomy, regarding changes in intraoperative CVP levels, blood loss, and postoperative renal function.

MATERIAL AND METHODS: The charts of 167 patients were reviewed and analyzed retrospectively. Intraoperative central venous pressure levels, blood loss, fluids infused, and urine output per hour, before and after the liver allograft procurement, were calculated. Perioperative renal functions were also analyzed.

RESULTS: Fluid infused before and after liver allograft procurement was 3.21±1.5 and 9.0±3.9 mL/Kg/h and urine output was 1.5±0.7 and 1.8±1.4 mL/Kg/h, respectively. Intraoperative estimated blood loss was 91.3±78.9 mL. No patients required blood transfusion. Their preoperative and postoperative hemoglobin were 12.3±2.7 and 11.7±1.7 g/dL. CVP levels decreased gradually from 10.4±3.0 to a low of 8.1±1.9 mmHg at the time of transection of the liver parenchyma. Renal functions were not significantly affected based on the determination of BUN and creatinine levels.

CONCLUSIONS: The methods used to lower CVP are moderate and slow, with 2 main goals achieved: minimal blood loss (91.3±78.9 ml) and no blood transfusion. Furthermore, it did not have any negative effect on renal function.

Keywords: Blood Loss, Surgical, Liver, Liver Transplantation, Living Donors

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358