Q: What is live donor
A: Live Donor Liver Transplantation (LDLT) is a
procedure in which a live donor gives a portion of his or her liver to a
family member or friend in need of a liver transplant.
Q: Who is a candidate to
receive a liver from a live donor?
A: Candidates, or
recipients, are those individuals with advanced but stable liver disease who
have been accepted and listed as appropriate candidates for a deceased donor
Q: How can I be
considered for LDLT?
A: After being accepted
and listed as a deceased donor transplant
candidate, the transplant team will review your medical information to
determine whether or not Live Donor Liver Transplantation is a potential option
Q: Who can qualify as a
A: Live liver donors are relatives,
friends or close acquaintances of the recipient. They must have a compatible blood
type and body size, as determined by the recipient's height and weight. In
addition, donors must be between the age of 18 and 60. They must also test
negative for liver diseases and can have no serious
medical conditions such as diabetes, cancer or heart disease.
Q: What is the pre-donation
evaluation process for donors?
A: After initial
screening blood work is received and reviewed, a potential donor is scheduled
for a consult with a live donor nurse coordinator and surgeon. This consult
involves a discussion of the procedure itself, including the risks associated
with donation, as well as an opportunity for the donor to ask any questions.
Q: When would the live donor liver transplant surgery take place?
A: Live donor liver transplantation
surgery is typically performed about 2 to 4 weeks after the donor evaluation
has been completed.
Q: How is the liver
transplant surgery performed, and how long will it take?
A: Simultaneously, two
separate surgical transplant teams perform the donor
and recipient surgeries. As one team works on removing the diseased liver from
the recipient, the other is working on removing a portion of the donor's
healthy liver. Once the portion of the donor’s healthy liver has been removed,
it is immediately implanted into the recipient. The live liver donor surgery
typically takes about 5 hours, and the recipient surgery is similar.
Q: How will my family
know what is happening during surgery?
A: Our family waiting
room is staffed by a nurse liaison who will provide frequent updates to the
families of the recipient and donor throughout the surgery.
Q: How long will I be
in the hospital after surgery?
A: The average donor
will be in the hospital for 4-7 days. The recipient will remain in the hospital
for about 7-14 days.
Q: How long do I need
to stay in the area following the surgery?
A: The donor will need to stay in the area for approximately 1 week following discharge. The recipient will
need to stay in the area for 6 to 12 weeks following hospital discharge for
weekly blood work and visits to the transplant clinic.
Q: How long are liver
A: Donors must return
for follow-up appointments at 2 weeks, 1 month, 3 months, 1 year and 2 years.
Q: Who should I contact
to learn more about becoming a live liver donor or learning more about LDLT?
A: For further
information, please contact Alicia Parrott, RN, CNOR at 781-744-2500.
Breeze is an online program from Lahey to help facilitate organ donations from living donors.