Abstract
Recent series have demonstrated advantages of living donor over deceased donor liver transplantation, with particular benefit for those with low model for end-stage liver disease score. The logic underlying the transplantation of patients before they become too sick is intuitive. It reduces mortality and drop outs from the waiting list and makes transplant surgery less demanding. Those principles have to be balanced with donor safety and transplant benefit for the recipient avoiding early, futile transplantation. The authors report a case of adult to adult right lobe living donor liver transplantation performed for a recipient affected by primary biliary cirrhosis with MELD score of 15, in a transplant center located in an area of Europe characterized by chronic organ shortage.
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Abbreviations
- CT:
-
Computed tomography
- CNT:
-
Italian National Transplant Center
- ECBDD:
-
Extended criteria brain death donor
- DCD:
-
Cardiac death donor
- LDLT:
-
Living donor liver transplantation
- DDLT:
-
Deceased donor liver transplantation
- MELD:
-
Model for end-stage liver disease
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Gruttadauria, S., Pagano, D., di Francesco, F. et al. Adult to Adult Living Donor Liver Transplantation in Recipients with Low MELD: A Strategy Intended to Overcome Donor Shortage. Dig Dis Sci 65, 3477–3480 (2020). https://doi.org/10.1007/s10620-020-06522-w
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DOI: https://doi.org/10.1007/s10620-020-06522-w