Theme |
Liver Transplantation -- Current Status and Perspective |
Title |
Living Liver Donor Issues |
Author |
Noriyo Yamashiki |
Department of Gastroenterology, Sanno Medical Center, International University of Health and Welfare / Organ Transplantation Service, Graduate School of Medicine, University of Tokyo / Department of Gastroenterology, Graduate School of Medicine, Universit |
Author |
Yasuhiko Sugawara |
Organ Transplantation Service, Graduate School of Medicine, University of Tokyo / Artificial Organ Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo |
Author |
Kiyoshi Hasegawa |
Artificial Organ Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo |
Author |
Kayo Nojiri |
Organ Transplantation Service, Graduate School of Medicine, University of Tokyo |
Author |
Kazuhiko Koike |
Department of Gastroenterology, Graduate School of Medicine, University of Tokyo |
Author |
Norihiro Kokudo |
Organ Transplantation Service, Graduate School of Medicine, University of Tokyo / Artificial Organ Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo |
[ Summary ] |
The wisdom accumulated by hepato-biliary surgeons and transplant surgeons has made it possible to safely perform living liver donor operations. Due to the scarce number of deceased donors, 90 % of liver transplantation is performed with living donors. While patients benefit from living donor liver transplantation, we must face the possibility of morbidity and mortality in living liver donors, as well as ethical and psychosocial problems. In order to address the issues involved with living liver donors, it is important for us to work together with transplant surgeons, physicians, transplant coordinators, psychiatrists, and other specialists to form transplant teams. We describe issues involved with living liver donors and explain donor evaluation procedures. |