Grade of donor liver microvesicular steatosis does not affect the postoperative outcome after liver transplantation

• Published in: Hepatobiliary & pancreatic diseases international Vol. 16; no. 6; pp. 617 - 623
• Main Authors: Andert, Anne, Ulmer, Tom Florian, Schöning, Wenzel, Kroy, Daniela, Hein, Marc, Alizai, Patrick Hamid, Heidenhain, Christoph, Neumann, Ulf, Schmeding, Maximilian
• Format: Journal Article
• Language: English
• Published: Singapore Elsevier B.V 15.12.2017; Department of General, Visceral and Transplant Surgery ,Uniklinik RWTH Aachen, Aachen, Germany%Department of Internal Medicine, Uniklinik RWTH Aachen, Aachen, Germany%Depart-ment of Anaesthesiology , Uniklinik RWTH Aachen, Aachen, Germany%Department of General and Visceral Surgery, Sana Hospital Düsseldorf-Gerresheim, Germany
• Subjects: Adult; Aged; Aged, 80 and over; allograft; Allografts; dysfunction; early allograft dysfunction; Female; Germany - epidemiology; Graft Survival; Hospitals, University; Humans; Incidence; liver; liver steatosis; liver transplantation; Liver Transplantation - adverse effects; Liver Transplantation - methods; Liver Transplantation - mortality; Male; microvesicular steatosis; Middle Aged; Non-alcoholic Fatty Liver Disease - diagnosis; Non-alcoholic Fatty Liver Disease - epidemiology; Primary Graft Dysfunction - diagnosis; Primary Graft Dysfunction - epidemiology; Retrospective Studies; Severity of Illness Index; steatosis;early; steatosis;microvesicular; Time Factors; Tissue Donors; transplantation;liver; Treatment Outcome; Young Adult; liver steatosis; liver transplantation; early allograft dysfunction; microvesicular steatosis
• ISSN: 1499-3872
• DOI: 10.1016/S1499-3872(17)60064-X

The potential effect of graft steatosis on the postoperative liver function is discussed controversially. The present study aimed to evaluate the effect of the donor liver microvesicular steatosis on the postoperative outcome after liver transplantation. Ninety-four patients undergoing liver transplantation at the University Hospital Aachen were included in this study. The patient cohort was divided into three groups according to the grade of microvesicular steatosis (MiS): MiS <30% (n=27), MiS 30%-60% (n=41) and MiS >60% (n=26). The outcomes after liver transplantation were evaluated, including the 30-day and 1-year patient and graft survival rates and the incidences of early allograft dysfunction (EAD) and primary nonfunction (PNF). The incidences of EAD and PNF did not differ significantly between the groups. We observed 5 cases of PNF, one occurred in the MiS <30% group and 4 in the MiS 30%-60% group. The 30-day and 1-year graft survivals did not differ significantly between groups. The 30-day patient survival rates were 100% in all groups. The 1-year patient survival rates were 94.4% in the MiS <30% group, 87.9% in the MiS 30%-60% group and 90.9% in the MiS >60% group. Microvesicular steatosis of donor livers has no negative effect on the postoperative outcome after liver transplantation.