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Evaluation of donor workups and exclusions in a single‐center experience of living donor liver transplantation
Author(s) -
Nugroho Adianto,
Kim OkKyung,
Lee KwangWoong,
Song Sanghee,
Kim Hyeyoung,
Hong Suk Kyun,
Yoon Kyung Chul,
Kim HyoSin,
Choi YoungRok,
Lee Hae Won,
Yi NamJoon,
Suh KyungSuk
Publication year - 2017
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.24762
Subject(s) - medicine , liver transplantation , living donor liver transplantation , transplantation , single center , center (category theory) , surgery , chemistry , crystallography
The process of evaluating potential donors in liver transplantation is important to ensure donor safety and provide optimal recipient outcomes. However, there has been no report about donor exclusion rates and reasons for such exclusion in Korea. In this study, we aimed to elucidate the outcomes of potential living liver donor evaluation in a major living donor liver transplantation center. From July 2011 to June 2015, prospectively collected data of 726 potential donors for 588 matched recipients were subsequently evaluated. Among 726 potential donors, 374 potential donors (51.5%) finally reached donation; 352 potential donors (48.5%) were excluded for various reasons. Donor reasons were 29.8%, including medical problems, withdrawal of consent, graft volume issues, and identification of a better suitable donor. Recipient reasons were 20.7%, including recipient death or recovery, allocation to deceased donor, and progressions of hepatocellular carcinoma. A total of 38 (5.2%) potential donors had a fatty liver. Among them, 15 (39.5%) potential donors tried short‐term weight reduction and eventually were able to donate. In conclusion, the main reasons for donor exclusion were medical problems and withdrawal of consent. Therefore, thorough medical screening and careful examination for donor voluntarism are important in the donor evaluation process. Liver Transplantation 23 614–624 2017 AASLD.