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This study explores the outcomes of liver transplantation using right lobe grafts from donors aged 50 and above. Results show low postoperative complications, mortality rates, and favorable graft outcomes for both donors and recipients. Considerations for utilizing older donors and optimizing surgical procedures are discussed.
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Results of Living Donor Age of Sixth Decade for Adult Liver Transplantation Using a Right Lobe graft 2016.04.01 Seok-Hwan Kim
2009.01 ~ 2015.12 Old donors ≥ 50 yrs for LDLT Total : 28 patients Exclusion – 10 patients (Dual LDLT-5, Lt. lobe graft -5) Study design Final : 18 patients
Postoperative Complications (p>0.05) None 2 (11.1%) Hospital stay (p>0.05) 14.1±3.0 14.6±2.0 In-hospital Mortality (p>0.05) None None Results (Donors) Age : 20s Age : 50s
Biliary complication (p>0.05) None 2 (11.1%) Vascular complication (p>0.05) 2 (11.1%) 3 (16.7%) In-hospital Mortality (p>0.05) 1 (5.6%) None Results (Recipients) Age : 20s Age : 50s
Considerations For old donors For recipients GRWR ≈ 1.0 Highly selected Remnant volume ≈ 40% Complete reconstruction of IRHV & MHV Minimally fatty change