@article {4447,
	title = {Incidence of death and potentially life-threatening near-miss events in living donor hepatic lobectomy: A world-wide survey.},
	journal = {Liver Transplantation},
	volume = {19},
	year = {2013},
	month = {2013},
	pages = {499 - 506},
	publisher = {(1) Department of Transplantation and Hepatobiliary Diseases, Lahey Clinic Medical Center, Tufts Medical School, Burlington, MA},
	address = {Copyright (C) 2013 John Wiley \& Sons, Inc.},
	abstract = {: The incidence of morbidity and mortality after living donor liver transplantation (LDLT) is not well understood because reporting is not standardized and relies on single-center reports. Aborted hepatectomies (AHs) and potentially life-threatening near-miss events (during which a donor{\textquoteright}s life may be in danger but after which there are no long-term sequelae) are rarely reported. We conducted a worldwide survey of programs performing LDLT to determine the incidence of these events. A survey instrument was sent to 148 programs performing LDLT. The programs were asked to provide donor demographics, case volumes, and information about graft types, operative morbidity and mortality, near-miss events, and AHs. Seventy-one programs (48\%), which performed donor hepatectomy 11,553 times and represented 21 countries, completed the survey. The average donor morbidity rate was 24\%, with 5 donors (0.04\%) requiring transplantation. The donor mortality rate was 0.2\% (23/11,553), with the majority of deaths occurring within 60 days, and all but 4 deaths were related to the donation surgery. The incidences of near-miss events and AH were 1.1\% and 1.2\%, respectively. Program experience did not affect the incidence of donor morbidity or mortality, but near-miss events and AH were more likely in low-volume programs (<=50 LDLT procedures). In conclusion, it appears that independently of program experience, there is a consistent donor mortality rate of 0.2\% associated with LDLT donor procedures, yet increased experience is associated with lower rates of AH and near-miss events. Potentially life-threatening near-miss events and AH are underappreciated complications that must be discussed as part of the informed consent process with any potential living liver donor. Liver Transpl 19:499-506, 2013. (C) 2012 AASLD., Copyright (C) 2013 John Wiley \& Sons, Inc.},
	isbn = {1527-6465},
	author = {Cheah, Yee and Simpson, Mary and Pomposelli, James and Pomfret, Elizabeth}
}
