Erschienen in:
01.10.2015 | Editorial
Minimalist approach to donor hepatectomy
verfasst von:
See Ching Chan, Sheung Tat Fan
Erschienen in:
Hepatology International
|
Ausgabe 4/2015
Einloggen, um Zugang zu erhalten
Excerpt
In living donor liver transplantation, any donor hepatectomy is a major undertaking, and it is fundamental that the harm brought to the donor is kept to a minimum, while the transplantation is predictably successful. A larger partial liver, which has a relatively good margin of safety, has historically been favored in terms of better recipient recovery, but graft handling at procurement and implantation is also less mature and graft preservation less satisfactory. With the continuous advancement of the specialty, it has become possible to use smaller and smaller grafts in relation to recipient body size, while meeting individual recipient’s metabolic demands [
1]. As a corollary, the pendulum is swinging back to the use of the left liver [
2]; on the other hand, right liver transplantation is feasible for patients who are much larger than their donors. …
