Journal Article

Heidelberg's first experiences in establishing a living-donation liver transplantation programme

Arianeb Mehrabi, Peter Schemmer, Jan Schmidt, Peter Sauer, Helmut Friess, Thomas Kraus, Eike Martin, Markus W. Büchler and Waldemar Uhl

in Nephrology Dialysis Transplantation

Published on behalf of European Renal Association - European Dialysis and Transplant Assoc

Volume 19, issue suppl_4, pages iv1-iv5
Published in print July 2004 | ISSN: 0931-0509
Published online July 2004 | e-ISSN: 1460-2385 | DOI: http://dx.doi.org/10.1093/ndt/gfh1033
Heidelberg's first experiences in establishing a living-donation liver transplantation programme

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Background. Since indications for liver transplantation (LTx) have increased and the shortage of brain dead transplant organs continues, an increase in deaths related to extended waiting periods can be documented. Living-related LTx (LRLTx) is a good alternative that can help compensate the shortness of organs for transplantation and can reduce waiting periods and deaths related to a long waiting list. We started a LRLTx programme at the transplantation centre, Department of Surgery at the University of Heidelberg to increase our transplantation activities. In this article we present our primary experiences and protocol.

Methods. From September 2002 to June 2003, three LRLTx were performed. Indications in recipients were hepatocellular carcinoma in two cases and liver cirrhoses due to hepatitis B in one patient. Two patients received the right liver (segments V–VIII) of their donors. One patient received the complete liver collected as a Domino LTx. All liver transplants were performed without the use of a venous bypass.

Results. The peri- and post-operative courses of our donors were without complications, except for an infected intraabdominal bilioma, which was drained interventionally. The donors were fully able to work after the operation. The coordinative and logistical work should not be underestimated.

Conclusions. This therapy should only be offered and performed in centres with excellent expert knowledge in liver and transplantation surgery.

Keywords: domino transplantation; evaluation of living liver donor; living donation liver transplantation; living-related liver transplantation; preparation of living liver donor

Journal Article.  0 words. 

Subjects: Nephrology

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