Living Donor Liver Transplantation: Technical Innovations

Kiara A Tulla; Hoonbae Jeon

doi:10.1016/j.gtc.2018.01.001

Living Donor Liver Transplantation: Technical Innovations

Gastroenterol Clin North Am. 2018 Jun;47(2):253-265. doi: 10.1016/j.gtc.2018.01.001.

Authors

Kiara A Tulla¹, Hoonbae Jeon²

Affiliations

¹ Department of Surgery, University of Illinois at Chicago, 840 South Wood Street, CSB 401, MC 958, Chicago, IL 60612, USA.
² Department of Surgery, Tulane University, 1415 Tulane Avenue, #HC-5, New Orleans, LA 70112-2632, USA. Electronic address: hjeon@tulane.edu.

PMID: 29735022
DOI: 10.1016/j.gtc.2018.01.001

Abstract

Living donor liver transplantation (LDLT) has found a place to serve the end-stage liver disease community as the donor safety and recipient suitability has been elucidated. Donor safety is of paramount importance and transplant programs must continue endeavors to maintain the highest possible standards. At the same time, adequacy of grafts based on recipient clinical status via their model for end-stage liver disease (MELD) score and volumetric studies to achieve a GRBWR >0.8, along with special attention to anatomic tailoring and portal venous flow optimization are necessary for successful transplantation. Technical innovations have improved sequentially the utility and availability of LDLT.

Keywords: Laparoscopic donor hepatectomy; Living donor liver transplantation; Portal flow modulation.

Publication types

Review

MeSH terms

Allografts / anatomy & histology*
Allografts / blood supply
Donor Selection*
Humans
Liver Circulation
Liver Transplantation / methods*
Living Donors*
Minimally Invasive Surgical Procedures
Portal System
Tissue and Organ Harvesting / methods