Technical Evolution in Living Donor Liver Transplantation / 대한이식학회지

ABSTRACT

During the last 15 years, much progress has been made in the technical aspect of living donor liver transplantation (LDLT). In fact, LDLT has contributed to understanding of the detailed anatomy of the liver and performing more precise hepatectomy. Recently, more complex cases which were relative contraindications for liver transplantation such as Budd-Chiari syndrome and portal vein thrombosis have been challenged in LDLT area. This review focuses on donor hepatectomy and hanging maneuver in the donor, and hilar dissection and venous reconstruction in the recipient. In addition, recent technical advances in complex cases were also introduced. Biliary complication has been the most common, intractable complication to disturb the quality of life of the long-term survivors. Reduction of its complication rate is a pending question of the transplant surgeon. In LDLT, donor safety is paramount. Technical innovations should be balanced with any unexpected harm to the donors.