Living-donor liver transplantation: evaluation of donor and recipient

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Peter SauerJens Encke

Abstract

Living-donor liver transplantation (LDLT) in adults has been expanded after becoming the standard for children in many transplant centres. Advantages of LDLT include thorough donor screening, optimization of timing for transplantation and minimal cold ischaemia time. However, the risk of donor morbidity and mortality must be considered. The preoperative evaluation of the donor typically is performed in consecutive stages. Specific donor considerations in LDLT are thrombosis and embolism, hepatic mass and hepatic steatosis. After complete evaluation, only a small proportion of potential donors are satisfactory candidates. The evaluation protocol for LDLT recipients in most centres is not different from that of cadaveric transplantation. More experience and the development of specific selection and evaluation criteria will further increase the benefit for the recipient and decrease the risk of the donor.

Citations

Jan 2, 2007·Annals of Surgery·Reeta VeteläinenThomas M van Gulik
Jul 8, 2010·Journal of Hepato-biliary-pancreatic Sciences·Masato Fujiyoshi, Michitaka Ozaki
Oct 7, 2005·Clinics in Liver Disease·Lawrence U Liu, Thomas D Schiano
Mar 16, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Adianto NugrohoKyung-Suk Suh
Jun 1, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Nam-Joon YiKuhn Uk Lee
Jun 30, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·A RíosP Parrilla
Nov 16, 2005·Transplantation·Peter SchemmerThomas W Kraus

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