Living liver donor safety: Intraoperative considerations in living liver donation guidelines from the ILTS-iLDLT group consensus conference 2025.
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Bhangui P
- Hakeem AR
- Rammohan A
- Sayed BA
- Soejima Y
- Shingina A
- Cheah YL
- McCluskey S
- Spiro M
- Ganesh S
- Rajalingam R
- Gupta S
- Findlay J
- Gupta A
- Chieh AKW
- Sakamoto S
- Xia Q
- Kim KH
- Polak WG
- Sapisochin G
- Soin AS
- Pomposelli J
- Vyas M
- Wiggins C
- Mas V
- Taner T
- Broering D
- Chen CL
- Terrault N
- Burra P
- Hirschfield G
- Ascher N
- Lerut J
- Rela M
- Heimbach J
- Selzner N
- Balci D
- Olthoff K
Grupos
Abstract
The success of living donor liver transplantation (LDLT) has bridged the growing gap between organ demand and availability in patients with liver failure or liver cancer. Safety of the living liver donor (LLD) is paramount, and astute intraoperative management plays a critical role in ensuring optimal outcomes in them. Given that intraoperative surgical and anesthesia practices vary widely across centers, the International Liver Transplantation Society (ILTS) and the International Living Donor Liver Transplantation Group (iLDLT Group) convened a global consensus conference in Toronto in March 2025 to develop guidelines for intraoperative management of the LLD. This manuscript details the recommendations on intraoperative considerations for the safety of LLD developed by Working Group II of the Consensus Scientific Committee, using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for assessment of recommendations, and the Danish model of consensus. Working Group II focused on intraoperative monitoring, fluid and ventilation strategies, surgical techniques for vascular and biliary division, surgeon and center specific experience, and intraoperative crises planning. These guidelines aim to support both established and emerging LDLT teams to ensure high-quality and safe intraoperative care for the LLD.
Copyright © 2025 American Association for the Study of Liver Diseases.
Datos de la publicación
- ISSN/ISSNe:
- 1527-6465, 1527-6473
- Tipo:
- Article
- Páginas:
- 592-608
- PubMed:
- 41490582
- Factor de Impacto:
- 1,614 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
LIVER TRANSPLANTATION LIPPINCOTT WILLIAMS & WILKINS
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- No hay documentos
Filiaciones
Keywords
- Consensus; donor safety; hepatectomy; minimally invasive; perioperative care; recommendation
Portal de investigación