Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jun;36(6):e14667.
doi: 10.1111/ctr.14667. Epub 2022 Apr 24.

Perioperative management of adult living donor liver transplantation: Part 1 - recipients

Tetsuro Sakai  1   2   3 , Justin Sangwook Ko  4 , Cara E Crouch  5 , Sathish Kumar  6 , Michael B Little  7 , Min Suk Chae  8 , Armando Ganoza  9 , Luis Gómez-Salinas  10 , Abhi Humar  9 , Sang Hyun Kim  11 , Bon-Nyeo Koo  12 , Gonzalo Rodriguez  13 , Joel Sirianni  14 , Natalie K Smith  15 , Jun-Gol Song  16 , Aisha Ullah  1 , Adrian Hendrickse  5
Affiliations
Review

Perioperative management of adult living donor liver transplantation: Part 1 - recipients

Tetsuro Sakai et al. Clin Transplant. 2022 Jun.

Abstract

Living donor liver transplantation was first developed to mitigate the limited access to deceased donor organs in Asia in the 1990s. This alternative liver transplantation option has become an established and widely practiced transplantation method for adult patients suffering from end-stage liver disease. It has successfully addressed the shortage of deceased donors. The Society for the Advancement of Transplant Anesthesia and the Korean Society of Transplant Anesthesia jointly reviewed published studies on the perioperative management of live donor liver transplant recipients. The review aims to offer transplant anesthesiologists and critical care physicians a comprehensive overview of the perioperative management of adult live liver transplantation recipients. We feature the status, outcomes, surgical procedure, portal venous decompression, anesthetic management, prevention of acute kidney injury, avoidance of blood transfusion, monitoring and therapeutic strategies of hemodynamic derangements, and Enhanced Recovery After Surgery protocols for liver transplant recipients.

Keywords: KSTA; SATA; anesthesia; liver transplantation; living donor liver transplantation; recipients; review.

PubMed Disclaimer

References

REFERENCES

    1. Humar A, Ganesh S, Jorgensen D, et al. Adult living donor versus deceased donor liver transplant (LDLT versus DDLT) at a single center: time to change our paradigm for liver transplant. Ann Surg. 2019; 270: 444-451.
    1. Kwong AJ, Kim WR, Lake JR, et al. OPTN/SRTR 2019 annual data report: liver. Am J Transplant. 2021; 21 Suppl 2: 208-315.
    1. Berg CL, Gillespie BW, Merion RM, et al, A2ALL Study Group. Improvement in survival associated with adult-to-adult living donor liver transplantation. Gastroenterology. 2007; 133(6): 1806-1813.
    1. Trotter JF, Wachs M, Everson GT, Kam I. Adult-to-adult transplantation of the right hepatic lobe from a living donor. New Engl J Med. 2002; 346: 1074-1081.
    1. Freise CE, Gillespie BW, Koffron AJ, et al, Everhart JE and the A2ALL Study Group. Recipient morbidity after living and deceased donor liver transplantation: findings from the A2ALL retrospective cohort study. Am J Transplant. 2008; 8: 2569-2579.

LinkOut - more resources