A retrospective examination was performed, including a case control st
udy, of 40 patients aged 60 years and over who underwent liver transpl
antation at Ring's College Hospital, London, UR, between 1988 and Sept
ember 1993. There was no significant difference between elderly patien
ts and younger patients in preoperative condition, intraoperative inte
rventions, or outcome assessed by survival, complication rate, and dur
ation of stay on the intensive care unit. The only significant differe
nce between age groups was the median length of hospital stay, which w
as 24 days for the elderly versus 20 days for younger patients. We con
clude that age up to 70 years should not be a barrier to liver transpl
antation.