title: [Donor risk in living-related liver transplantation - the surgeon's point of view].
abstract: Living-related liver transplantation is a successful clinical approach to overcome organ shortage in hepatic transplantation. Possible advantages for the recipient of a living-donor transplant are a much shorter waiting period until transplantation and an almost elective time of operation which results in a decreased operative risk. Furthermore graft function of a living-related transplant is better than in cadaveric transplantation because of the shorter ischemic time and a careful examination of graft quality before organ donation. Removal of even more than 50 % of liver volume during the donor operation does not lead to an impairment of liver function in the organ donor. Intraoperative blood loss can usually be managed by re-transfusion of donor's own blood. Postoperative morbidity is about 10 - 15 % depending on the extent of the removed liver lobe. Most frequent postoperative complications are biliary leckages, wound infections and gastric/duodenal ulcerations. Up till now in more than 1000 living-related liver donations only three deaths occured due to thromboembolic and septic complications (< 0,3 %) (until 12/1998).
authors.affiliation: Klinik und Poliklinik für Allgemeine- und Transplantationschirurgie, Universitätsklinikum Essen. hauke.lang@uni-essen.de
authors.forename: H
authors.initials: H
authors.lastname: Lang
authors.forename: M
authors.initials: M
authors.lastname: Malagó
authors.forename: G
authors.initials: G
authors.lastname: Testa
authors.forename: S
authors.initials: S
authors.lastname: Nosser
authors.forename: U
authors.initials: U
authors.lastname: Clauer
authors.forename: C E
authors.initials: CE
authors.lastname: Broelsch
mesh_terms: D006801:Humans; D007398:Interpersonal Relations; D019520:Living Donors; D018570:Risk Assessment; D009927:Tissue and Organ Procurement
vernacular_title: Die Leberlebendspende aus chirurgischer Sicht - das Risiko des Spenders.