[Liver transplantation and living donors].
LIVER SPLITTING: Classically, cadaver livers are split ex situ to provide two grafts for transplantation. This procedure could be performed in situ, limiting the duration of the operation and improving recovery of liver function. LIVING RELATED DONORS: Living donor liver transplantation is a well established technique in children. Donor mortality is nil and morbidity very acceptable. For adults, the results have been less satisfactory with increasing risk for the recipient, with biliary and venous problems due to the "small-for-size" implant. ORGAN HARVESTING: The left lobe, classically used for children, can also be grafted into adults, but under certain restrictive conditions. If the donor's residual liver volume is below 0.8% of the total body mass, the biological alterations remain limited and transient. EMERGENCY TRANSPLANTATIONS: Liver transplantations using a living donor can save critically ill patients with a life expectancy of less than 3 months. Remarkable survival rates have been achieved.
Campan
P
P
Hôpital de la Conception, Marseille.
D000328:Adult; D000367:Age Factors; D002102:Cadaver; D002648:Child; D004630:Emergencies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D020858:Tissue and Organ Harvesting / Q000379:methods*