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Volume 344:1633-1637 May 24, 2001 Number 21
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Transplantation of Liver Grafts from Living Donors into Adults — Too Much, Too Soon

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Since 1995, many liver-transplantation programs in the United States,1,2 Europe,3 and Asia4,5 have performed adult-to-adult transplantation of liver grafts from living donors. Since 1997, more than 30 U.S. transplantation programs have performed more than 400 of these procedures. Although six of these programs have performed only 1 procedure each, one program has performed more than 100. Twenty-three centers are planning to start such programs.6,7 Liver transplantation in adults with the use of grafts from living donors may initially have been regarded as a technical extension of the procedure for transplanting liver grafts from living donors into children. However, we are . . . [Full Text of this Article]

Transplantation of Grafts from Living Donors into Children

Transplantation of Grafts from Living Donors into Adults

Is There a Need for the Procedure in Adults?

Risks and Benefits for Donors and Recipients

Risks for Donors

Benefits for Donors

Risks for Recipients

Benefits for Recipients

Equipoise for Donors and Recipients

Informed Consent

Field Strength and Institutional Climate

Conclusions

References


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