Dr Yesim Erim and colleagues from Germany investigated the psychosocial effects of a right hepatectomy on donors for adult living donor liver transplantation.
The researchers sent out questionnaires to 66 actual donors, who had undergone adult living donor liver transplantation between 1998 and 2003.
The team also sent out questionnaires to 139 potential donors, who had been examined as possible candidates for adult living donor liver transplantation.
The potential donors had been excluded and had not undergone surgery.
|Psychiatric problems occurred in 14% of female donors|
All actual donors reported full recovery within an average period of 14 weeks.
The researchers noted that all had returned to their preoperative employment.
The donors had received more support from their families in the decision-making process than the potential donors had.
The researchers observed that the donors also felt better informed about donation than the potential donors.
The team noted that psychiatric problems occurred in 14% of female donors in the perioperative period.
This was mostly in connection with unrealistic outcome expectations.
The team found that donors with severe postoperative complications demonstrated higher scores of psychiatric symptoms.
When the researchers compared potential and actual donors, a significant difference in emotional quality of life was not demonstrated.
In addition, the researchers found that the quality of life of donors corresponded to that of the normative sample.
For donors, perceived emotional quality of life did not depend on the course of recovery of the recipients.
The researchers observed that, 6 to 9 months after donation, potential donors reported a higher physical quality of life than actual donors.
Dr Erim's team comments, “Female donors, donors with their own major complications, or donors with unrealistic outcome expectations should be provided with adequate psychosocial care.”
“With regard to the psychosocial outcome, adult living donor liver transplantation is a safe intervention for the donor.”