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Langenbeck's Archives of Surgery

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01-11-2007 | Current Concepts in Clinical Surgery

Adult living donor liver transplantation: living donation of the right liver lobe

Authors: J. Mittler, A. Pascher, S. Jonas, J. Pratschke, U. P. Neumann, J. M. Langrehr, P. Neuhaus

Published in: Langenbeck's Archives of Surgery | Issue 6/2007

Abstract

Background

Adult living donor liver transplantation (LDLT) has become a routine treatment option for patients waiting for liver transplantation. In European and North American countries, LDLT for adult recipients is mainly performed with right lobe grafts. Indications, when compared to deceased donor liver transplantation, are controversial.

Materials and methods

In our institution, patients suffering from hepatocellular carcinoma in cirrhosis, non-resectable hilar cholangiocarcinoma, viral hepatitis associated cirrhosis, as well as cholestatic liver and biliary disease are considered good candidates for LDLT.

Results

In this overview, donor evaluation, graft selection, and the donor operation with special regard to operative techniques and strategies are discussed. For visualization, a 5-min video sequence of the standard donor operation as performed in our institution is attached.

Conclusion

Given the ongoing shortage of donor organs, adult LDLT has become a routine treatment option for patients waiting for liver transplantation. The associated inevitable risk for the healthy donor, however, remains ethically controversial.

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Title: Adult living donor liver transplantation: living donation of the right liver lobe
Authors: J. Mittler
A. Pascher
S. Jonas
J. Pratschke
U. P. Neumann
J. M. Langrehr
P. Neuhaus
Publication date: 01-11-2007
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 6/2007
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-007-0187-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Adult living donor liver transplantation: living donation of the right liver lobe

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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