[Living donor liver transplantation].

Presse Med

Chirurgie générale digestive, Hôpital Cochin, AP-HP, 27 rue du Faubourg Saint-Jacques, Paris Cedex 14, France.

Published: September 2009

AI Article Synopsis

  • Liver grafts for adults typically come from the right lobe and for children from the left lateral segment due to volume considerations.
  • Postoperative risks are higher for donors who provide right lobectomies compared to those donating the left lateral segment.
  • Living donor liver transplantation, while more complex, yields similar outcomes to cadaveric transplants in specialized facilities, with major contraindications including high body mass index and blood clotting issues.

Article Abstract

For reasons of volume, a liver graft from a living donor should come from the right lobe for adult recipients, and from the left lateral segment for pediatric recipients. For donors, postoperative mortality and morbidity rates are significantly higher for right lobectomies than for removal of the left lateral section. Although living donor liver transplantation is more technically demanding, its results are similar to those with cadaveric liver transplants in expert centers. The primary contraindications to living donations are elevated body mass index and hemostatic or thrombotic disorders.

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Source
http://dx.doi.org/10.1016/j.lpm.2009.05.007DOI Listing

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