Organ Donation and Transplant

Confusions and their Answers about Living Liver Donation

Written by Ella Stephen

 1. What is liver donation from a living donor?

Is when living person gives part of its liver to anyone requiring transplantation?

The potential living donors are carefully evaluated. Only people in whom the gift of a liver portion levy is likely to regenerate as soon as the operation is complete are selected. The health and safety of the donor is a primary concern when evaluating.

  1. Why become a donor?

Donate part of his liver is a complicated process that is not without risk, both for the donor and the recipient. However, when we went to the gift is that the surgical team has ensured both the compatibility between the donor and recipient evaluation of the potential risks to the donor. Living donation has many benefits for the person who needs a transplant. This intervention will greatly improve their quality of life. There may be several reasons for accessing the request of the recipient, but the decision to donate an organ should remain personal and must be made by the donor without peer pressure or the medical team.

  1. Who can become a donor?

The potential donor:

     Has good general health, both physical and psychological

     Is aged at least 18 but not more than 60 years

     A liver of a sufficient size to ensure good liver function in both the donor and the recipient

     Is from a blood group compatible with the recipient

     Is a close relative of the recipient or has a strong emotional relationship with him

     Has a good support network

The potential donor does not have:

     HIV infection

     Known viral hepatitis

     Active alcohol addiction combined with a high alcohol consumption

     Psychiatric illness

     A history of cancer

     Cardiac and pulmonary disease requiring medication

     Diabetes

     Abdominal surgery

  1. Is the donor is mandatory parent with the recipient?

It is not necessary to be a parent with the recipient for an organ donation. Donors of living organ can be a spouse or a friend.

  1. Is there is less risk of rejection when the donor is a relative of the recipient?

Studies indicate that the risk of rejection between a donor and a recipient who are parents is no less than among unrelated donors and recipients. In addition, the required amount of anti-rejection drugs does not seem to be affected by the relationship between the donor and the recipient.

  1. How should we proceed to be evaluated as a living donor liver lobe?

The receiver must first make a request to the potential donor. The recipient must then, on its own, contact the medical team responsible for the intervention to discuss further. The potential donor will then be supported by a medical team will assess his candidacy, both physically and psychologically.

  1. Where can you spend the necessary tests to determine if you can become a living donor?

The evaluation process is designed to ensure that the donor liver is healthy and of sufficient size to ensure the quality and proper functioning of the liver in both the donor and the recipient. It also carries out an assessment of the overall health of the potential donor. The candidate also meets a psychiatrist and a social worker to ensure that the candidate understands the full implications of such a move and that it also has a good support network. Finally, the evaluation process is to ensure that the donor makes its decision freely, without pressure or coercion.

The evaluation of the donors is done only at the Hôpital Saint-Luc University Hospital Montreal since it is the only center for liver transplantation (liver) in living donation, Quebec.

  1. What is the duration of the evaluation?

The evaluation period will vary from case to case.

  1. Who makes the final decision as to whether a person may or may not be living donor liver?

The decision is made by the living donor evaluation team that is separate from the evaluation team recipients. The donor’s team consists of a surgeon, a psychiatrist, internist, a nurse practitioner and a social worker. During the decision making, donor safety overrides all other considerations.

10. What percentage of the donor’s liver is removed?

For the gift of an adult to a child is removed about 30% of the liver while for the gift of an adult to another, we fee from 60 to 70%. The right lobe, slightly larger than the left, includes 60 to 70% of the total volume of the liver; this is the lobe which is mostly used for transplantation. The left lobe, slightly smaller than the right, is 30 to 40% of the total liver volume. If the recipient is a young child, part of the left lobe of the donor, called the left lateral segment is usually charged.

About the author

Ella Stephen