Why we did not use this donor

Abstract

Liver transplantation is a major treatment modality for chronic liver failure. Living donor liver transplantation is a relatively new surgical procedure in the treatment of liver disease. In Turkey, where cadaveric organ donation is very limited because of cultural issues and organizational problems, living donor liver transplantation has taken a major role in our current practice. Between July 2004 and November 2006, our group performed 113 living donor liver transplantations. A total of 167 prospective donors were evaluated with imaging studies. Donor safety during and after the hepatectomy is of utmost importance. According to our practice guidelines, all prospective donors undergo biochemical/serological, medical/psychiatric, and anatomical screening before being accepted as donors. For the anatomical screening computed tomography (CT) angiogram and magnetic resonance cholangiopancreotogram are obtained. Images are reviewed by an experienced radiologist and the donor surgeon before final decision for donor eligibility. Here, we describe a prospective donor deemed not eligible because of portal vein anatomy.