Liver Transplantation

  • Mark L. SturdevantEmail author
  • Christopher B. Hughes
  • William D. Payne
  • Chris E. Freise
  • Abhinav Humar


The field of liver transplantation has undergone remarkable advances in the past two decades. An essentially experimental procedure in the early 1980s, a liver transplant is now the treatment of choice for patients with acute and chronic liver failure. Patient survival at 1 year posttransplant has increased from 30 % in the early 1980s to more than 85 % at present. The major reasons for this dramatic increase include refined surgical and preservation techniques, better immunosuppressive protocols, more effective treatment of infections, and improved care during the critical perioperative period. Yet a liver transplant remains a major undertaking, with the potential for complications affecting every major organ system.


Liver transplant LTx Surgical technique Operative technique Split liver transplant Living donor liver transplant Donor evaluation Complications 

Supplementary material

Video 7.1

Benching the liver from a deceased donor (Humar) (WMV 63301 kb)

Video 7.2

Deceased donor liver transplant: adult recipient (Humar) (WMV 171609 kb)

Video 7.3

In-situ split of the deceased donor liver for adult/pediatric recipients (John Renz, Hasan Yersiz, Ronald Busutill) (MPG 421110 kb)

Video 7.4

In-situ split of the deceased donor liver for two adult recipients (Humar) (WMV 142803 kb)

Video 7.5

Adult to adult living donor liver transplant using the right lobe: donor procedure (Humar/Sturdevant) (WMV 181647 kb)

Video 7.6

Adult to adult living donor liver transplant using the right lobe: recipient procedure (Humar) (WMV 258336 kb)

Video 7.7

Adult to adult living donor liver transplant using the left lobe: recipient procedure (Chris Friese) (WMV 446707 kb)

Video 7.8

Pediatric liver transplant using a left lateral segment graft (George Mazariegos, Kyle Soltys) (WMV 113787 kb)

Video 7.9

(WMV 113787 kb)

Video 7.10

(MOV 85983 kb)

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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • Mark L. Sturdevant
    • 1
    Email author
  • Christopher B. Hughes
    • 1
  • William D. Payne
    • 2
  • Chris E. Freise
    • 3
  • Abhinav Humar
    • 4
  1. 1.Department of Surgery, Thomas E. Starzl Transplantation InstituteUniversity of Pittsburgh Medical Center, MontefiorePittsburghUSA
  2. 2.Division of Vascular Surgery, Department of SurgeryUniversity of Minnesota Medical SchoolMinneapolisUSA
  3. 3.Division of Transplant SurgeryConnie Frank Transplant Center at the University of California, San FranciscoSan FranciscoUSA
  4. 4.Division of Transplantation, Department of Surgery, Thomas E. Starzl Transplantation InstituteUniversity of Pittsburgh Medical Center, MontefiorePittsburghUSA

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