الفهرس | Only 14 pages are availabe for public view |
Abstract •Living-donor liver transplantation (LDLT) offers a partial solution to the severe shortage of deceased donor liver grafts worldwide. • The list for liver transplantation is as wide as the spectrum of liver disease itself. • When dealing with a scarce resource such as donated organ, the team should perform liver transplantation only on candidates in whom a reasonable chance of graft and patient survival is predicted. • Potential donors undergo careful medical investigations, which have three major goals: assessment of the medical risk for the donor, assessment of the remnant donor liver and suitability of the potential graft for the recipient and psychological assessment of the donor. • The overall mortality rate of the donors is of the order of 0.2%. • Risks to the donor includes; risks associated with any surgical procedure, such as bleeding, infection and anesthetic complications, possibility that the donor will be left with insufficient hepatic function, possibility of biliary complications both in the early and late postoperative periods, risks associated with blood transfusion, and long-term risks associated with major hepatic resection. • Studies assessing donor quality of life after LDLT demonstrate that virtually all donors state that they would donate again, irrespective of recipient outcomes. |