Citation, DOI, disclosures and article data
Citation:
Taha E, Hacking C, Bell D, et al. Living donor liver transplantation. Reference article, Radiopaedia.org (Accessed on 26 Feb 2025) https://doi.org/10.53347/rID-75956
Disclosures:
At the time the article was last revised Craig Hacking had the following disclosures:
- Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Craig Hacking's current disclosures
Living donor liver transplantation (LDLT) is a lengthy and complex operation in which one or several hepatic lobes or segments from the potential donor are resected and transplanted into the recipient patient after excision of the diseased liver.
Other types of liver transplant are discussed here.
Techniques
Adults
The most common technique is right hemihepatectomy, with resection of the right hepatic lobe along a hepatectomy plane to the right of the middle hepatic vein (i.e excluding the middle hepatic vein).
Pediatrics
The most common technique is left lateral segmentectomy, with resection of segments 2 and 3 along a hepatectomy plane running just to the right of the falciform ligament. Another technique is a left hemihepatectomy, with resection of the left hepatic lobe (segments 2, 3 and 4) including the middle hepatic vein.
NB: the hepatic segments were originally numbered by Roman numerals I to VIII, but the Arabic numerals 1 to 8 are now preferred 3
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1. Burk KS, Singh AK, Vagefi PA, Sahani D. Pretransplantation Imaging Workup of the Liver Donor and Recipient. (2016) Radiologic clinics of North America. 54 (2): 185-97. doi:10.1016/j.rcl.2015.09.010 - Pubmed
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2. Sandeep Vohra, Neerav Goyal, Subash Gupta. Preoperative CT evaluation of potential donors in living donor liver transplantation. (2014) Indian Journal of Radiology and Imaging. 24 (4): 350. doi:10.4103/0971-3026.143897 - Pubmed
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3. Strasberg SM. Nomenclature of hepatic anatomy and resections: a review of the Brisbane 2000 system. (2005) Journal of hepato-biliary-pancreatic surgery. 12 (5): 351-5. doi:10.1007/s00534-005-0999-7 - Pubmed
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