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

作者：Hwang Gyu Sam^*; McCluskey Stuart A

来源：Current Opinion in Organ Transplantation, 2010, 15(3): 377-382.

DOI：10.1097/MOT.0b013e3283387f75

• live donor
• liver transplantation
• perioperative management
• postoperative outcomes

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.

• 出版日期2010-6