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Anesthesia and outcome after partial hepatectomy for adult-to-adult donor transplantation

Hwang, Gyu-Sama; McCluskey, Stuart Ab

Current Opinion in Organ Transplantation: June 2010 - Volume 15 - Issue 3 - p 377–382
doi: 10.1097/MOT.0b013e3283387f75
Anesthesiology: Edited by Gianni Biancofiore and John Klinck

Purpose of review: The worldwide adoption of live liver donors as a source of donor organs for transplantation has been curtailed by the very real risk of complications in otherwise healthy people. Our objective in this review is to outline the perioperative management of the live liver donor for adult-to-adult transplantation.

Recent findings: The incidence and severity of complications following live liver donation is extremely variable, and reporting needs to be standardized if we are to improve the perioperative management and outcomes. Agreed definitions would clarify the incidence and severity of postoperative complications, allow identification of areas in which management can be improved and suggest areas for future investigation. Such an effort will require the cooperation of centers around the world.

Summary: Live liver donation is a valuable option for organ donation that can be conducted safely with a multidisciplinary perioperative approach. Future considerations should focus on the recovery period and how the intraoperative management can be optimized to minimize the impact of surgery on donors' quality of life.

aDepartment of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

bDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Correspondence to Gyu-Sam Hwang, Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-2Dong, Songpa-Gu, Seoul 138-736, South Korea Tel: +82 2 3010 3989; fax: +82 2 470 1363; e-mail: kshwang@amc.seoul.kr

© 2010 Lippincott Williams & Wilkins, Inc.