Living Donor Liver Transplant

 

           This is a much preferred option because of several practical factors.  There is no waiting list for LDLT as opposed to long waiting lists for deceased liver transplants.  LDLT also allows for more flexibility with planning.  A transplant operation can be performed before the recipient is too sick to withstand a surgery.  In addition success rates for LDLT are 92-95% after 1 year. This is compared to 80% for decease liver transplants. 

About LDLT

            First a liver donor must be determined.  This must be an individual over 18 years of age with good mental and physical health.  The recipient and the donor must have compatible blood types (see the table below).

Blood Type

Can Donate To:

Can Receive From:

A Group

A Group

A Group or O Group

B Group

B Group

B Group or O Group

O Group

All Groups

O Group

AB Group

AB Group

All Groups

          

            Next, the operation takes anywhere from 10-12 hours.  While the liver recipient will stay in the hospital for 2-3 weeks, the donor can be discharged after one week.  The recipient will need to be on immunosuppression drugs for three months.  After this time, these drug doses will decrease as the patient’s progress is tracked.  In most cases this medication can be discontinued sometime from six months to one year after surgery. 

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