1. Results of Living Donor Age of Sixth Decade for Adult Liver Transplantation Using a Right Lobe graft
Seok-Hwan Kim

2. Study design Final : 18 patients 2009.01 ~ 2015.12
Old donors ≥ 50 yrs for LDLT ~
Total : 28 patients
Exclusion – 10 patients (Dual LDLT-5, Lt. lobe graft -5)

3. Results 50s Donors (p>0.05) 20s 52.5±1.5 25.4±3.1 6 (33%) 8 (44%)
Median ± 2SD
Age
52.5±1.5
25.4±3.1
Male Gender %
6 (33%)
8 (44%)
Regeneration %
103.1±10.6
104.5±11.8
Steatosis %
3±2.65
5±1.25
Remnant vol %
38.9±3.0
38.1±2.9 3

4. Results 50s Recipients (p>0.05) 20s 47.4±2.53 47.8±10.8 83.2±30.4
Median ± 2SD
Age
47.4±2.53
47.8±10.8
Regeneration %
83.2±30.4
86.8±23.4
HBV Cirrhosis %
10 (55.6%)
9 (44%)
MELD
13.5±8.4
15.7±7.5
GRWR
1.02±0.19
1.17±0.18 4

5. Results (Donors) Age : 20s Age : 50s None 2 (11.1%) 14.1±3.0 14.6±2.0
Postoperative
Complications
(p>0.05)
Hospital stay
In-hospital
Mortality

6. Vascular complication
Results (Recipients)
Age : 50s
Age : 20s
None
2 (11.1%)
3 (16.7%)
1 (5.6%)
Biliary complication
(p>0.05)
Vascular complication
In-hospital
Mortality

7. Considerations For old donors For recipients Highly selected
GRWR ≈ 1.0
Remnant volume ≈ 40%
Complete reconstruction of IRHV & MHV
Minimally fatty change

8. Thank You !!!