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Abdominal Solid Organ TransplantationLiving Donor Liver Transplantation

Abdominal Solid Organ Transplantation: Living Donor Liver Transplantation [As the liver transplant community grapples with a large and persistent shortage of donor organs, living donor liver transplantation (LDLT) is a proven, yet underutilized, source of transplantable grafts. Given the nature of the procedure, donor safety has always been paramount. Over the course of two decades, improved techniques and a more holistic approach to LDLT have yielded excellent donor and recipient outcomes. Increasing sophistication of the preoperative donor workup, more liberal use of adult-to-adult left lobe liver transplantation, introduction of inflow modification, improved recipient selection, and a better understanding of small-for-size graft syndrome are among the most noteworthy improvements. Important technological applications such as the more standard use of 3D printing and computer-assisted surgical navigation have given transplant professionals invaluable tools to aid in good outcomes. Critical to any center’s success, however, is preparing for an adverse donor outcome. The very process of preparing for such an event helps a center make sure they are performing LDLT in accordance with proven best practices, for both donor and recipient.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Abdominal Solid Organ TransplantationLiving Donor Liver Transplantation

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References (120)

Publisher
Springer International Publishing
Copyright
© Springer International Publishing Switzerland 2015
ISBN
978-3-319-16996-5
Pages
169 –183
DOI
10.1007/978-3-319-16997-2_10
Publisher site
See Chapter on Publisher Site

Abstract

[As the liver transplant community grapples with a large and persistent shortage of donor organs, living donor liver transplantation (LDLT) is a proven, yet underutilized, source of transplantable grafts. Given the nature of the procedure, donor safety has always been paramount. Over the course of two decades, improved techniques and a more holistic approach to LDLT have yielded excellent donor and recipient outcomes. Increasing sophistication of the preoperative donor workup, more liberal use of adult-to-adult left lobe liver transplantation, introduction of inflow modification, improved recipient selection, and a better understanding of small-for-size graft syndrome are among the most noteworthy improvements. Important technological applications such as the more standard use of 3D printing and computer-assisted surgical navigation have given transplant professionals invaluable tools to aid in good outcomes. Critical to any center’s success, however, is preparing for an adverse donor outcome. The very process of preparing for such an event helps a center make sure they are performing LDLT in accordance with proven best practices, for both donor and recipient.]

Published: Mar 6, 2015

Keywords: Living donor liver transplantation; Donor evaluation; Recipient evaluation; Outcomes; Donor safety

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