Living Donor Liver Transplant Technique

Surgical techniques used in adult living donor liver.

Living donor liver transplant technique.

The major concern has been the ability to resect a graft of adequate size without subjecting the donor to undue risk. A surgeon removes a part of the donor s liver typically the right half. If you become a living donor you help free up a liver for someone else on the waiting list. This donated segment of the liver is then immediately placed in the recipient in the next operating room.

Liver transplantation or hepatic transplantation is the replacement of a diseased liver with the healthy liver from another person liver transplantation is a treatment option for end stage liver disease and acute liver failure although availability of donor organs is a major limitation the most common technique is orthotopic transplantation in which the native liver is removed and. Living donor liver transplantation surgery involves the removal of a portion of the donor liver the removal of the recipient s diseased or malfunctioning liver and the implantation of the donor s partial liver. The continuing shortage of organs for adult transplant recipients has generated enthusiasm for adult to adult living donor liver transplantation ldlt. Either the left or right lobe of your liver may be used in donation depending on the size of the recipient.

Introduction and historical notes. About 40 to 70 of the donor s liver is removed for transplantation. A living donor liver transplant is a procedure in which a living person donates a portion of his or her liver to another person. Today liver transplantation lt represents the treatment of choice for end stage liver disease and represents the culmination of a long history of innovations made by liver surgeons based on hemorrhage control appreciating the occurrence of regeneration and understanding the liver anatomy 1 resective and transplant liver surgery influenced each other.

In an adult to adult ldlt a segment of liver equivalent to 60 of the total liver mass is. In living liver donor surgery the donor and the recipient are placed in side by side operating rooms. Summary the extensive clinical experience in liver resection for tumors and reduced size split liver transplantation combined with the first successful living donor liver transplantation ldlt using the left lateral segment from an adult to a child in 1989 has resulted in the widespread application of ldlt worldwide. The donor s liver and the portion given to the recipient regenerate to full size within a few months.