Recent evolution of living donor liver transplantation at Kyoto University: How to achieve a one-year overall survival rate of 99％?

• 作者: Toshimi Kaido
• 来源期刊: 国际肝胆胰疾病杂志(英文版)
• 年，卷（期）: 2020,（4）
• 页码范围: 328-333
• 页数: 6页
• 语种: 英文

摘要

Previously, living donor liver transplantation was considered as a "high-risk, high-return"medical treat- ment due to the relatively high short-term mortality. It is our task to change "high-risk, high-return"into a "low-risk, high-return"situation. In this review article, the recent evolutions in living donor liver trans- plantation for both donors and recipients at Kyoto University such as portal vein pressure modulation, hy- brid donor operation, and perioperative management considering sarcopenia, focusing on improvement of short-term outcomes are described. Under a paradigm of "marketing and innovation", various innovations and efforts have been made over the last decade aiming at improving the short-term outcomes of bothdonors and recipients. By doing so, excellent short-term results after living donor liver transplantation have been achieved, along with a potentially epoch-making discoveries.