title: Is there an advantage of living over deceased donation in liver transplantation?
abstract: Living donor liver transplantation (LDLT) is a well-established strategy to decrease the mortality in the waiting list and recent studies have demonstrated its value even in patients with low MELD score. However, LDLT is still under a high level of scrutiny because of its technical complexity and ethical challenges as demonstrated by a decline in the number of procedures performed in the last decade in Western Countries. Many aspects make LDLT different from deceased donor liver transplantation, including timing of transplantation, procedure-related complications as well as immunological factors that may affect graft outcomes. Our review suggests that in selected cases, LDLT offers significant advantages over deceased donor liver transplantation and should be used more liberally.
authors.affiliation: Liver Transplant Program, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Cristiano
authors.initials: C
authors.lastname: Quintini
authors.forename: Koji
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Teresa Diago
authors.initials: TD
authors.lastname: Uso
authors.forename: Charles
authors.initials: C
authors.lastname: Miller
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000601:surgery; D006084:Graft Rejection; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D017114:Liver Failure, Acute / Q000601:surgery; D008113:Liver Neoplasms / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods; D019520:Living Donors