Living Donor Liver Transplantation for Patients Older Than Age 70 Years: A Single-Center Experience

J. H. Kwon, Y. I. Yoon, G. W. Song, K. H. Kim, D. B. Moon, D. H. Jung, G. C. Park, E. Y. Tak, V. A. Kirchner, S. G. Lee

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Over the past two decades, the age of liver transplantation (LT) recipients has been increasing. We reviewed our experience with LT for patients aged ≥70 years (range: 70–78 years) and investigated the feasibility of performing LT, especially living donor LT (LDLT), for older patients. We retrospectively reviewed the medical records of 25 patients (15 LDLT recipients, 10 deceased donor LT recipients) aged ≥70 years who underwent LT from January 2000 to April 2016. Their perioperative morbidity rate was 28.0%, and the in-hospital mortality rate was 16.0%; these results were comparable to those of matched patients in their 60s (n = 73; morbidity, p = 0.726; mortality, p = 0.816). For patients in their 70s, the 1- and 5-year patient survival rates were 84.0% and 69.8%, and the 1- and 5-year graft survival rates were 83.5% and 75.1%, respectively. Comparisons of patient and graft survival rates between matched patients in their 60s and 70s showed no statistically significant differences (patient survival, p = 0.372; graft survival, p = 0.183). Our experience suggests that patients aged ≥70 years should not be excluded from LT, or even LDLT, based solely on age and implies that careful selection of recipients and donors as well as meticulous surgical technique are necessary for successful results.

Original languageEnglish (US)
Pages (from-to)2890-2900
Number of pages11
JournalAmerican Journal of Transplantation
Volume17
Issue number11
DOIs
StatePublished - Nov 2017

Bibliographical note

Funding Information:
The present research work was partially supported by research fund from the National Research Foundation of Korea (NRF-2015K1A4A3046807).

Publisher Copyright:
© 2017 The American Society of Transplantation and the American Society of Transplant Surgeons

Keywords

  • guidelines
  • health services and outcomes research
  • liver transplantation/hepatology
  • liver transplantation: living donor

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