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Anesthetic Aspects of Living Donor Hepatectomy

  • Paul D. Weyker
  • Tricia E. Brentjens
Chapter

Introduction

Led by Thomas E. Starzl, the era of liver transplantation began in 1963 at the University of Colorado and by 1967 the first patient transplanted by this group survived more than a year [1]. However living donor liver transplantation (LDLT) was only attempted many years later after further advances of knowledge, experience, and surgical technique in the field of split liver technique allowed the transplantation of one donor graft into two recipients [2], was first successfully performed in 1989 by Broelsch et al. [3] at the University of Chicago. A young girl born with biliary atresia was the recipient of her mother’s left lobe of liver. Since that time, experience in the field has grown and expanded to include adult-to-adult living liver transplantation.

As the wait list for liver transplants far exceeds the availability of cadaveric donors, the use and widespread acceptance of LDLT has increased as an alternative to cadaveric transplantation. However, the need to protect...

Keywords

Preoperative assessment Ethics Bile leak Graft weight to recipient body weight ratio Anesthetic management Surgical technique 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyColumbia University Medical CenterNew YorkUSA

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