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Adult Living-Donor Liver Transplantation

University of Rochester

Amadeo Marcos

University of Rochester

Right-lobe living-donor liver transplantation (LDLT) has emerged as an innovative method to combat the ever-expanding United Network for Organ Sharing waiting list. Although still in its early years of development, certain centers have had extensive experience with outcomes equal to that of traditional cadaveric liver transplantation. As experience is gained, the selection criteria for both donors and recipients have evolved. To combat the unique obstacles of transplanting a segmental graft, various techniques have been proposed and/or refined. The optimal method remains to be determined while taking into consideration that each graft can pose its own unique challenge due to complex anatomical variation. The authors' goal is to review the development of LDLT and to discuss the current issues under debate.

Key Words: liver transplant • live donor • right lobectomy • segmental graft

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