LYCOS RETRIEVER
Liver: Liver Transplants
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The first liver transplant in Arkansas was performed at UAMS on Sunday, May 14, 2005. The recipient was Greg Gilliland of Hot Springs. Dr. Youmin Wu, in addition to the liver transplant surgical team, completed the transplant in less than four hours. Mr. Gilliland's surgery and recovery proceeded well, with Mr. Gilliland participating in a press conference two days after receiving a new liver.
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More recently, adult-to-adult liver transplantation has been done using the donor's right hepatic lobe which amounts to 60% of the liver. Due to the ability of the liver to regenerate, both the donor and recipient end up with normal liver function if all goes well. This procedure is more controversial as it entails performing a much larger operation on the donor, and indeed there have been at least 2 donor deaths out of the first several hundred cases. A recent publication has addressed the problem of donor mortality, and at least 14 cases have been found.[6] The risk of postoperative complications (and death) is far greater in right sided hepatectomy than left sided operations.
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Orthotopic liver transplantation refers to a procedure in which a failed liver is removed from the patient's body and a healthy donor liver is transplanted into the same location. In this case, the liver donor is someone who has recently died. The procedure is the most common method used to transplant livers.
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There are several types of liver transplant. During the procedure, surgeons remove a patient’s diseased liver and replace it with a healthy liver from a donor who has died. In some cases, a portion of a liver of a living donor may be used.
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