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Living‐donor liver transplantation: an overview
Author(s) -
Strong Russell W.
Publication year - 2006
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-005-1076-y
Subject(s) - medicine , liver transplantation , living donor liver transplantation , transplantation , waiting list , intensive care medicine , surgery
It has been 16 years since the first successful living‐donor liver transplant was performed from a parent to a child. The overall recipient and graft survival, together with a low morbidity and mortality in donors, have resulted in the widespread acceptance of the procedure by both the transplant community and the public at large. Adult‐to‐adult living‐donor liver transplantation has been evolving over the past decade. Despite living‐donor transplant patients being better‐risk candidates than those who receive a graft from a deceased donor, and well‐established and experienced units achieving satisfactory results, overall recipient and graft survival recorder by registries can only be described as suboptimal. This, combined with the high morbidity and not‐insignificant mortality amongst donors makes expansion of adult‐to‐adult liver transplantation hard to justify on a risk‐benefit analysis.