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Review article: adult-to-adult right hepatic lobe living donor liver transplantation Hayashi PH; Trotter JFAliment Pharmacol Ther 2002[Nov]; 16 (11): 1833-41Spurred on by the critical shortage of cadaveric livers, adult-to-adult right hepatic lobe living donor liver transplantation has grown rapidly as a therapeutic option for selected patients. In the USA alone, the number of living donor liver transplantations has increased six-fold in the last 4 years. The therapy can be complex, bringing together a variety of disciplines, including transplantation medicine and surgery, hepatology, psychiatry and medical ethics. Moreover, living donor liver transplantation is still defining itself in the adult-to-adult application. Uniform standards, guidelines and long-term outcomes are yet to be determined. Nevertheless, initial success has been remarkable, and a basic understanding of this field is essential to any physician contemplating options for their liver failure patients. This review covers a range of topics, including recipient and donor selection and outcomes, donor risk, controversies and future issues.|*Living Donors[MESH]|Adult[MESH]|Humans[MESH]|Liver Regeneration[MESH]|Liver Transplantation/*methods/trends[MESH]|Patient Selection[MESH]|Tissue and Organ Procurement/methods[MESH]|Treatment Outcome[MESH] |
