Living-Donor Hepatectomy

Cipe, Gokhan; Tüzüner, Acar; Genç, Volkan; Orozakunov, Erkinbek; Özgencil, Enver; Yılmaz, Ali Abbas; Can, Özlem Selvi; Çakmak, Atıl; Karayalçın, Kaan; Ersöz, Sadık; Hazinedaroğlu, Selçuk

doi:10.1016/j.transproceed.2011.01.101

Cited by 8 publications

(29 citation statements)

References 16 publications

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“…The ligamentum teres is ligated and divided, and the falciform ligament severed toward the suprahepatic vena cava to reveal the border between the RHV and the MHV. The right liver is then mobilized by dissection of the triangular ligament (Cipe G, et al, 2011).…”

Section: Accessmentioning

confidence: 99%

“…The extent of the dissection of the retrohepatic-cava plane can be pictured as a longitudinal line drawn from the space between RHV and MHV to the midportion of the process of the caudate lobe. It usually corresponds to half to two thirds of the anterior surface of the IVC (Cipe G, et al, 2011).…”

Section: Mobilizationmentioning

confidence: 99%

“…Individual preferences dictate the level of comfort in relying on the aforementioned devices (Cipe G, et al, 2011). Under a low central venous pressure and complete muscle relaxation, bleeding during liver transection would not be excessive.…”

Section: Parenchymal Transectionmentioning

confidence: 99%

“…In this way the liver is lifted upward and the resection is greatly facilitated.. To include the MHV in the graft during the hanging maneuver, the origin of the MHV is rounded and a tape is passed to the space between the LHV and MHV (Ogata S, 2007;Cipe G, et al, 2011).…”

Section: Parenchymal Transectionmentioning

confidence: 99%

“…The donor side of the bile duct is closed after the graft is removed and the vascular stumps are oversewn (Henrik P et al, 2009;Polak W et al, 2009;Humar A et al, 2006). (Cipe G, et al, 2011).…”

Section: Parenchymal Transectionmentioning

confidence: 99%

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Living Donor Liver Transplantation

Abdeldayem¹

2012

Liver Transplantation - Technical Issues and Complications

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Section: Accessmentioning

confidence: 99%

Section: Mobilizationmentioning

confidence: 99%

Section: Parenchymal Transectionmentioning

confidence: 99%

Section: Parenchymal Transectionmentioning

confidence: 99%

Section: Parenchymal Transectionmentioning

confidence: 99%

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Living Donor Liver Transplantation

Abdeldayem¹

2012

Liver Transplantation - Technical Issues and Complications

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Should minors be considered as potential living liver donors?

et al. 2013

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For many patients, living donor liver transplantation represents their only hope of receiving a lifesaving graft. In certain (albeit rare) cases, a minor will be the only suitable donor. Living liver donation by minors has been reported in several countries. In the academic literature and professional guidelines, little attention is paid to the development of an ethical framework for this practice. The focus is frequently limited to the donation of regenerative tissues and kidneys. However, liver donation differs in important respects because of the increased medical risks and the lack of substitute therapies. Therefore, in this article, we assess whether living liver donation by minors is ethically appropriate. We argue that living liver donation by minors is justifiable only if minors possess the capacity to consent to donation or if the procedure is in their best interests. Although minors may possess adult-like levels of cognitive maturity, they lack sufficient psychosocial maturity to give valid consent to donation. In addition, living liver donation is generally not in a minor's best interests. With respect to the latter, the potential psychological benefits that a minor may experience as a result of living liver donation are insufficiently empirically supported and are unlikely to outweigh the short-and long-term medical and psychological risks. Therefore, we conclude that minors should not be considered as potential living liver donors.

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