J Med Assoc Thai 2010; 93 (5):637

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Evaluation of Donors for Living Donor Liver Transplantation (LDLT)
Sobhonslidsuk A Mail, Intaraprasong P , Tongprasert S

Liver transplantation has been the last resort of definite treatment for decompensate cirrhosis, early-stage of
hepatocellular carcinoma, and acute liver failure. Organ shortage is the major obstacle of deceased-donor liver transplantation.
Since the first case of living-donor liver transplantation (LDLT), many centers around the world started the LDLT program.
Living donors should be informed about the possible risk of morbidity and mortality, and later give consent for liver donation
without coercion. Donor selection and evaluation have become one of the important steps prior to LDLT, aiming to exclude
donors who may have high risks from LDLT and to assure that LDLT recipients will receive perfect liver grafts. In Thailand,
living donors must have been blood relatives or be legally married with recipients for at least three years. Donor evaluation
can be divided into three step-by-step phases. Psychological evaluation of living donors is also included in pre-transplant
assessment.

Keywords: Evaluation, Liver transplantation, Deceased donor, Living donor

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