Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Liver transplantation in Germany].

M Wolff1, J C Kalff, N T Schwarz

  • 1Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn. wolff@chir.uni-bonn.de

Zentralblatt Fur Chirurgie
|November 25, 2003
PubMed
Summary

Liver transplantation in Germany faces challenges due to organ shortages. Strategies like split-liver and living-donor transplants, alongside improved patient selection and post-transplant care, aim to increase successful liver replacements.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluating a novel vertical traction device for early closure in open abdomen management: a consecutive case series.

Frontiers in surgery·2024
Same author

[How does the surgical society (DGAV) support the continuing medical training in general and visceral surgery?]

Chirurgie (Heidelberg, Germany)·2023
Same author

Dragon 1 Protocol Manuscript: Training, Accreditation, Implementation and Safety Evaluation of Portal and Hepatic Vein Embolization (PVE/HVE) to Accelerate Future Liver Remnant (FLR) Hypertrophy.

Cardiovascular and interventional radiology·2022
Same author

[Implementation of fast-track measures in colorectal resections : A survey among members of the DGAI].

Die Anaesthesiologie·2021
Same author

[Evidence of indocyanine green fluorescence in robotically assisted colorectal surgery : What is the status?]

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2021
Same author

[Recommendations on treatment of acute appendicitis : Recommendations of an expert group based on the current literature].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2020

Area of Science:

  • Hepatology
  • Transplantation Surgery
  • Organ Donation

Background:

  • The primary challenge in German liver transplantation is the growing gap between patients needing transplants and the limited availability of deceased donor organs.
  • The German transplantation law shifted organ allocation from center-based to patient-oriented criteria, prioritizing waiting time over medical urgency, which has highlighted the issue of patient mortality on the waiting list.

Purpose of the Study:

  • To address the organ shortage in liver transplantation.
  • To explore strategies for increasing the number of liver transplantations performed.
  • To discuss advancements improving outcomes in liver replacement therapy.

Main Methods:

  • Analysis of liver transplantation statistics in Germany.
  • Review of novel surgical techniques, including split-liver transplantation.

Related Experiment Videos

  • Examination of living donor liver transplantation (LDLT) adoption.
  • Consideration of updated guidelines for patient selection.
  • Evaluation of advancements in immunosuppression and post-transplant care.

    • Main Results:

    • In 2001, 757 liver transplantations were conducted in Germany, with 12.5% utilizing living donors.
    • Split-liver and LDLT are key strategies to expand the donor pool.
    • New guidelines for selecting patients with end-stage liver disease and acute liver failure have been published.
    • Individualized immunosuppression and treatments for recurrent viral diseases enhance transplant outcomes.

    Conclusions:

    • Increasing the number of liver transplantations requires innovative approaches to overcome organ scarcity.
    • Technological and procedural advancements, alongside optimized patient management, are crucial for improving liver transplant success rates.
    • The integration of living donor programs and split-liver techniques offers viable solutions to meet the rising demand for liver transplants.