Choice of Surgical Technique Influences Perioperative Outcomes in Liver Transplantation

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Choice of Surgical Technique Influences Perioperative Outcomes in Liver Transplantation

  • M. Hosein Shokouh-Amiri
  • A. Osama Gaber
  • Wagdy A. Bagous
  • Hani P. Grewal
  • Donna K. Hathaway
  • Santiago R. Vera
  • Robert J. Stratta
  • Trine N. Bagous
  • Tarik Kizilisik


Live Liver Donor Brochure Release date 2007 American Society of Transplantation 15000 Commerce Parkway, Suite C Mount Laurel, NJ 08054 Phone: 856-439-9986 • Fax: 856-439-9982 • E-mail: [email protected] The information presented and opinions expressed herein are those of the authors and do not necessarily represent the views of the Society. Living Donor Liver Transplantation Dilip Moonka, Sammy Saab, James Trotter Authors Revised May 7, 2007 AST Liver and Intestines Committee Contributing Committee 2 What is a living-donor liver transplantation? A living-donor liver transplantation, or transplant, is when a live person donates a part of his or her healthy liver. The donated part then grows to full size in the person who receives it (the recipient). After the transplant, the donor’s liver also grows back to full size over a very short period of time, usually days or weeks. Sometimes, however, it can take up to several months. The donor may be a family member, such as a parent, sister, brother, or adult child. The donor can also be a husband or wife. What are some benefits of a living-donor liver transplant? In the U.S., more than 17,500 patients are waiting to receive a liver. Every day more patients are added to the waiting list. More than 6,000 patients receive transplanted livers every year, but more than 1,700 patients die each year while waiting. Liver transplants are given to patients on the basis of how sick they are. Each patient waiting for a liver transplant is given a “score” called the “Model for End-stage Liver Disease” (MELD). Patients with a higher MELD score are very sick, so they have a better chance of getting a liver transplant sooner. A living-donor transplant means a patient can have a transplant before their liver failure gets worse. It means a shorter wait time for a liver. Because the surgery can be planned in advance, the chance for a successful transplant is better. Also, the quality of the liver may be better, because l

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