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):e14690.
doi: 10.1111/ctr.14690. Epub 2022 May 3.

Perioperative management of living donor liver transplantation: Part 2 - Donors

Tetsuro Sakai  1   2   3 , Justin Sangwook Ko  4 , Cara E Crouch  5 , Sathish Kumar  6 , Gyu-Seong Choi  7 , Florian Hackl  8 , Dai Hoon Han  9 , Michael Kaufman  8 , Seong Hoon Kim  10 , Carla Luzzi  11 , Stuart McCluskey  11 , Won Jung Shin  12 , Joel Sirianni  13 , Ki Won Song  14 , Cinnamon Sullivan  15 , Adrian Hendrickse  5
Affiliations
Review

Perioperative management of living donor liver transplantation: Part 2 - Donors

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 method has become a widely practiced and established transplantation option for adult patients suffering with end-stage liver disease, and it has successfully helped address the shortage of deceased donors. The Society for the Advancement of Transplant Anesthesia and the Korean Society of Transplantation Anesthesiologists jointly reviewed published studies on the perioperative management of adult live liver donors undergoing donor hemi-hepatectomy. The goal of the review is to offer transplant anesthesiologists and critical care physicians a comprehensive overview of the perioperative management of adult live donors. We featured the current status, donor selection process, outcomes and complications, surgical procedure, anesthetic management, Enhanced Recovery After Surgery protocols, avoidance of blood transfusion, and considerations for emergency donation. Recent surgical advances, including laparoscopic donor hemi-hepatectomy and robotic laparoscopic donor surgery, are also addressed.

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

PubMed Disclaimer

References

REFERENCES

    1. Brige P, Hery G, Chopinet S, Palen A, Azoulay D, Gregoire E. Morbidity and mortality of hepatic right lobe living donors: systematic review and perspectives. J Gastrointestin Liver Dis. 2018; 27:169-178.
    1. Samstein B, Smith AR, Freise CE, et al. Complications and Their Resolution in Recipients of Deceased and Living Donor Liver Transplants: Findings From the A2ALL Cohort Study. Am J Transplant. 2016;16:594-602.
    1. https://optn.transplant.hrsa.gov/media/2162/living_donor_consent_checkli... (Accessed May 4th 2021).
    1. Lee SG. A complete treatment of adult living donor liver transplantation: a review of surgical technique and current challenges to expand indication of patients. Am J Transplant. 2015; 15:17-38.
    1. Trotter JF, Wisniewski KA, Terrault NA, et al. A2ALL Study Group. Outcomes of donor evaluation in adult-to-adult living donor liver transplantation. Hepatology. 2007;46:1476-1484.

LinkOut - more resources