{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:16:37Z","timestamp":1791875797424,"version":"4.3.4"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T00:00:00Z","timestamp":1654646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Donor BMI above 30 is generally considered contraindication for donor hepatectomy. We compared the donor outcomes based on BMI threshold and weight loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>All potential donors were identified and data were collected retrospectively. Steatosis was assessed based on liver\u2010spleen Hounsfield unit difference and absolute liver intensity values. We compared BMI\u226530 (<jats:italic>n<\/jats:italic>\u00a0=\u00a053) and BMI\u00a0&lt;\u00a030 (<jats:italic>n<\/jats:italic>\u00a0=\u00a064) donor outcomes. Donors with weight loss (WL) prior to surgery were also analyzed separately. Complications were graded by Clavien\u2013Dindo classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All donors underwent open right donor hepatectomy. There was no difference between BMI\u226530 and\u00a0&lt;\u00a030 groups except female predominance in BMI\u226530 group (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.006). Both groups had similar rates of complication rates in all categories, similar remnant volume, operative time, length of stay and similar postoperative liver function recovery (all <jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.05). On the other hand, donors with WL were more commonly male, had smaller graft size, and higher biliary complications rates compared to no\u2010WL donors (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05). Multivariate binary logistics regression analysis revealed no association between BMI or WL and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We demonstrate that donors with BMI\u226530 have similar outcomes compared to BMI\u00a0&lt;\u00a030 donors with our defined selection criterion, therefore BMI\u226530 is not an absolute contraindication to donate right liver, provided that there is no significant steatosis and remnant liver is satisfactory. For potential overweight donors, WL down to BMI\u00a0&lt;\u00a030 is a reasonable target. Higher biliary complication rates after WL should be investigated further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14698","type":"journal-article","created":{"date-parts":[[2022,5,13]],"date-time":"2022-05-13T13:18:30Z","timestamp":1652447910000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Outcomes of right lobe donors with BMI\u226530 for living donor liver transplantation"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5777-0266","authenticated-orcid":false,"given":"Oya","family":"Andacoglu","sequence":"first","affiliation":[{"name":"Department of General Visceral and Transplantation Surgery Department of Surgery University Medicine of Essen  Essen Germany"},{"name":"Department of Surgery University of Oklahoma Division of Transplantation  Oklahoma City Oklahoma USA"},{"name":"International Liver Center  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaman","family":"Tokat","sequence":"additional","affiliation":[{"name":"International Liver Center  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugen","family":"Malamutmann","sequence":"additional","affiliation":[{"name":"Department of General Visceral and Transplantation Surgery Department of Surgery University Medicine of Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gupse","family":"Adali","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Umraniye Education and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anilalp","family":"Emre","sequence":"additional","affiliation":[{"name":"Department of General Visceral and Transplantation Surgery Department of Surgery University Medicine of Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8353-9532","authenticated-orcid":false,"given":"Arzu","family":"Oezcelik","sequence":"additional","affiliation":[{"name":"Department of General Visceral and Transplantation Surgery Department of Surgery University Medicine of Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2005.01124.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.12659\/AOT.923094"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.12659\/AOT.892454"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14019"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2012.07165.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2002.36740"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.0992"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2442061177"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2301021176"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.rct.0000193818.31749.84"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.13960"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2018.01.002"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31824c9e25"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.13859"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000071205.52835.A4"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000166009.77444.f3"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2019.02.047"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2016.07.003"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.14698","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.14698","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.14698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T20:22:50Z","timestamp":1692217370000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.14698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,8]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/ctr.14698"],"URL":"https:\/\/doi.org\/10.1111\/ctr.14698","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,8]]},"assertion":[{"value":"2021-12-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14698"}}