{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:16:54Z","timestamp":1763036214697,"version":"3.33.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":3075,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:sec>\n            <jats:title>Abstract<\/jats:title>\n            <jats:p>A total of 100 patients who underwent elective lobar donor hepatectomy from 2000 to 2002 at the University of Rochester Medical Center were reviewed. Assessed clinical data were estimated blood loss, intraoperative central venous pressure (CVP), blood product and fluid administration, perioperative arterial blood gas tension and acid-base state, metabolic status, perioperative serum levels of aspartate aminotransferase, alanine aminotransferase, prothrombin time, albumin, and lactate, procedure duration, and perioperative complications. All patients survived surgery, and the average duration of surgery (from skin incision to skin closure) was 615 \u00b1 99.6 minutes. Mean blood loss was 549 \u00b1 391 mL (range, 80-2,500 mL), and only 4 patients required homologous blood transfusion. The intraoperative blood loss did not correlate with CVP values. A total of 72 patients received isotonic sodium bicarbonate solution, and their metabolic variables were superior to those of normal saline group patients (arterial pH, 7.35 \u00b1 0.03 vs. 7.29 \u00b1 0.07; base excess, \u22124.3 \u00b1 2.4 vs. 7.3 \u00b1 3.4; and serum bicarbonate level, 20.6 \u00b1 2.2 vs. 18.6 \u00b1 2.9). However, the better control of metabolic acidosis was not associated with serum lactate levels or other outcome measures. Maintaining the CVP &lt; 5 mmHg was not associated with blood loss. Clinically significant anesthetic complications were severe metabolic acidosis, pneumothorax and respiratory insufficiency immediately following extubation in the operating room. In conclusion, placement of a thoracic epidural catheter delivering a local anesthetic in addition to intravenous (IV) patient-controlled analgesia with opiates provided safe and effective pain control in most patients. Further prospective studies should shed a light on the optimal care of patients undergoing liver donor hepatic resection. <jats:italic toggle=\"yes\">Liver Transpl 13:537\u2013542, 2007.<\/jats:italic> \u00a9 2007 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.21074","type":"journal-article","created":{"date-parts":[[2007,3,29]],"date-time":"2007-03-29T16:59:51Z","timestamp":1175187591000},"page":"537-542","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":45,"title":["Anesthesia Care for Adult Live Donor Hepatectomy"],"prefix":"10.1097","volume":"13","author":[{"given":"Ashwani","family":"Chhibber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Dziak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jefferey","family":"Kolano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell J.","family":"Norton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stewart","family":"Lustik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-13-20250124","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1056\/NEJM199005243222106","article-title":"Successful liver transplantation from living donor to her son.","volume":"322","author":"Strong","year":"1990","journal-title":"N Engl J Med"},{"key":"R2-13-20250124","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/S0022-3476(99)70450-6","article-title":"Pediatric liver transplantation with cadaveric or living related donors: comparative results in 90 elective recipients of primary grafts. see comments.","volume":"134","author":"Reding","year":"1999","journal-title":"J Pediatr"},{"issue":"Suppl","key":"R4-13-20250124","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1097\/01.TP.0000046532.44975.57","article-title":"Ethics and rationale of livingdonor liver transplantation in Asia.","volume":"75","author":"De Villa","year":"2003","journal-title":"Transplantation"},{"key":"R5-13-20250124","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/01.TP.0000079064.08263.8E","article-title":"Liver regeneration and surgical outcome in donors of rightlobe liver grafts.","volume":"76","author":"Pomfret","year":"2003","journal-title":"Transplantation"},{"key":"R6-13-20250124","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1007\/BF03013917","article-title":"Anesthetic management of living liver donors.","volume":"46","author":"Choudhry","year":"1999","journal-title":"Can J Anesth"},{"key":"R7-13-20250124","first-page":"1170","article-title":"Kawarazaki, et al. 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