Controversies in living donor liver transplants

被引:2
|
作者
Carlos Garcia-Valdecasas, Juan [1 ]
Calatayud, David [1 ]
Fuster, Jose [1 ]
Fondevila, Constantino [1 ]
Sanchez, Santiago [1 ]
Garcia, Raquel [1 ]
Modolo, Maria [1 ]
Ferrer, Juana [1 ]
机构
[1] Hosp Clin Barcelona, Inst Enfermedades Digest & Metab, Unidad Cirugia Hepat & Trasplante, Serv Cirugia Gen & Digest, Barcelona, Spain
来源
CIRUGIA ESPANOLA | 2009年 / 86卷 / 05期
关键词
Liver transplant; Live donor; Live adult donor; Live donor recipient; MIDDLE HEPATIC VEIN; DUCT BILIARY RECONSTRUCTION; RIGHT-LOBE; RIGHT HEPATECTOMY; GRAFT SIZE; MORBIDITY; RECIPIENTS; DRAINAGE; SAFETY; IMPACT;
D O I
10.1016/j.ciresp.2008.03.004
中图分类号
R61 [外科手术学];
学科分类号
摘要
Adult liver transplants from a living donor are a valid and effective alternative as a treatment in terminal liver disease. However, in the context of a donation from a brain dead donor, as in western countries (Spain), it is very high, and there are still controversial aspects that should be continuously assessed in order to ensure good results. Live donations are currently stable and represent about 5% of the total liver transplants performed in Europe. Morbidity and mortality is around 35% and 0.1%, respectively, probably reasonable figures given the characteristics of the intervention. The 1 and 5 year survival rates of the recipients of a living donor are currently 95% and 75%, which are similar to those coming from brain dead donors. However the level of biliary complications in this patient group is higher, with an incidence of around 35-40%. However, this incidence has not had any effect on the long-term results up until now. (C) 2008 AEC. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:278 / 282
页数:5
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