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Case Reports in Transplantation
Volume 2014, Article ID 582183, 5 pages
http://dx.doi.org/10.1155/2014/582183
Case Report

Delayed Gastric Emptying after Living Donor Hepatectomy for Liver Transplantation

1Center for Liver Disease and Transplantation, Department of Surgery, Columbia University Medical Center, New York, NY 10032, USA
2Department of Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA
3Department of Surgery, Montefiore Medical Center, Bronx, NY 10467, USA
4New York Presbyterian Hospital/Columbia, PH Room Floor 14, Room 202, 622 West 168th Street, New York, NY 10032, USA

Received 15 September 2014; Accepted 3 December 2014; Published 25 December 2014

Academic Editor: Piero Boraschi

Copyright © 2014 Hanjay Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Delayed gastric emptying is a significant postoperative complication of living donor hepatectomy for liver transplantation and may require endoscopic or surgical intervention in severe cases. Although the mechanism of posthepatectomy delayed gastric emptying remains unknown, vagal nerve injury during intraoperative dissection and adhesion formation postoperatively between the stomach and cut liver surface are possible explanations. Here, we present the first reported case of delayed gastric emptying following fully laparoscopic hepatectomy for living donor liver transplantation. Additionally, we also present a case in which symptoms developed after open right hepatectomy, but for which dissection for left hepatectomy was first performed. Through our experience and these two specific cases, we favor a neurovascular etiology for delayed gastric emptying after hepatectomy.