Long-term complications of living donor liver transplantation

1. Donor outcome after living donor liver transplantation (LDLT) is related to type of liver resection. Left lateral segmentectomy is used in pediatri c cases and right lobectomy is used in adult cases. 2. Biliary complications occur in 5% to 10% of both pediatric and adult cas es. 3. Three donors, 2 in pediatric LDLT and 1 in adult LDLT, have died, Estima ted mortality is 0.13% for pediatric donation and 0.2% for adult donation. 4. Postoperative cholestasis occurs commonly in donors, but clinically rele vant jaundice occurs in less than 5%. 5. Other donor morbidity may be related to incisional hernias, postoperativ e gastric dysfunction, and pain. 6. Donors report overall satisfaction with LDLT, and 88% believed that the role of LDLT should be increased. 7. All donors returned to predonation activities; 25% by 1 month, 75% by 3 months, 88% by 4 months, and 100% by 1 year.