The Interplay Between Living Donor Liver Transplantation and Liver Surgery

Part of the Updates in Surgery book series (UPDATESSURG)


The evolution of living donor liver transplantation (LDLT) has spurred advances in complex liver surgery. Refinements in living donor liver surgery along with a better understanding of the liver anatomy and live donor liver volumetry have been applied to resective hepatic surgery, improving outcomes after major liver resection. Likewise, advances in resective hepatic surgery has led to both the split-liver technique and LDLT. The overall result has been the development of innovative techniques, such as two-stage hepatectomy, and the association of liver partition and portal vein ligation, combining aspects of liver resection surgery and partial graft transplantation.

This chapter reviews the surgical and clinical advances in liver surgery and LDLT, focusing on developments worldwide and in Italy, donor and recipient outcomes, and prospects for the further expansion and application of these complex surgical procedures.


Liver transplantation Living donor liver transplantation LDLT Split liver Liver surgery Small-for-size syndrome 

Supplementary material

Video 8.1

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of General Surgery and TransplantationNiguarda HospitalMilanItaly
  2. 2.Department of Surgical SciencesUniversity of PaviaPaviaItaly
  3. 3.School of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly

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