title: Advances in the management of the explanted donor liver.
abstract: Liver transplantation is the best therapy in end-stage liver disease. Donor organ shortage and efforts to expand the donor organ pool are permanent issues given that advances in perioperative management and immunosuppressive therapy have brought the procedure into widespread clinical use. The management of organ procurement, including donor preconditioning and adequate organ storage, has a key role in transplantation. However, the organ procurement process can differ substantially between transplant centres, depending on local and national preferences. Advances in the field have come from experimental and clinical research on dynamic storage systems, such as machine perfusion devices, as an alternative to static cold storage. Determination of the clinical significance of these new systems is a topic worthy of future investigations.
authors.affiliation: Department of General, Visceral, and Transplant Surgery, Charité-Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Maxim
authors.initials: M
authors.lastname: Nebrig
authors.affiliation: Department of General, Visceral, and Transplant Surgery, Charité-Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Neuhaus
authors.affiliation: Department of General, Visceral, and Transplant Surgery, Charité-Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Pascher
mesh_terms: D000818:Animals; D015925:Cryopreservation / Q000379:methods; D046148:Donor Selection / Q000379:methods; D006801:Humans; D016031:Liver Transplantation / Q000379:methods; D009926:Organ Preservation / Q000379:methods; D010477:Perfusion / Q000379:methods; D014022:Tissue Survival; D009927:Tissue and Organ Procurement