Preliminary Program v12

Deceased Donor Liver Transplantation

Introduction

Preoperative measures

Intraoperative measures

Postoperative measures

 

Living Donor Liver Transplantation

Enhanced recovery of the living liver donor

Preoperative

  • What is the optimal donor physiological workup to improve short-term outcomes of the donor after living liver donation? 
  • What is the optimal donor surgical workup to improve short-term outcomes of the donor after living liver donation donor? 
  • Does pre-operative counselling of the donor improve immediate and short-term outcomes after living liver donation? 

Intraoperative

  • Does a multimodal approach to pain of the donor intraoperatively enhance immediate and short-term outcomes after living liver donation? 
  • Does the surgical technique for the donor influence immediate and short-term outcomes after living liver donation? 

Postoperative

  • What is the optimal prophylaxis against post-operative DVT in the living donor to avoid complications and enhance recovery?
  • When is it safe for the liver donor to be discharged home and prevent unnecessary re-hospitalizations?  

 

Enhanced recovery of the recipient after living liver donation

Preoperative

  • What is the lower limit of graft to recipient weight ratio compatible with enhanced recovery of the recipient after living donor liver transplantation?
  • How to avoid the small for size syndrome?
  • What is the optimal patient selection regarding upper limits of MELD of the recipient to ensure enhanced recovery after living donor liver transplantation?

Intraoperative

  • Does modification of portal pressures and flows enhance recovery of the recipient after living donor liver transplantation?