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Updated: May 16, 2026

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
09:51

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

OPTN/SRTR 2011 Annual Data Report: liver.

W R Kim1, P G Stock, J M Smith

  • 1Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN, USA.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|December 15, 2012
PubMed
Summary
This summary is machine-generated.

The 2002 liver allocation system reduced wait times initially but led to increased adult waitlists and pre-transplant mortality. However, transplant outcomes and graft survival have improved for both adults and children.

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Published on: August 14, 2017

Area of Science:

  • Hepatology
  • Transplant Surgery
  • Public Health Policy

Background:

  • The liver allocation system implemented in 2002 altered priority criteria, reducing the emphasis on waiting time.
  • Post-implementation, initial reductions in wait-listed candidates and median waiting times were observed.

Purpose of the Study:

  • To evaluate the long-term impact of the 2002 liver allocation system on adult and pediatric liver transplantation.
  • To assess trends in wait-listing, pre-transplant mortality, donation rates, and transplant outcomes.

Main Methods:

  • Analysis of national liver transplant waiting list data from 2002 onwards.
  • Examination of trends in candidate numbers, waiting times, donor types, and transplant outcomes.
  • Comparison of adult and pediatric recipient data.

Main Results:

  • Adult wait-list numbers and median waiting times have increased since 2002/2006, with a near doubling of candidates withdrawn due to sickness.
  • Deceased donation rates are stable, but living donation has declined; transplant outcomes and graft survival show continuous improvement.
  • Pediatric wait-list numbers have decreased, with improved pre-transplant mortality and increased transplant rates, particularly for infants.

Conclusions:

  • While the 2002 liver allocation system initially reduced wait times, it has led to challenges in adult liver transplantation, including longer waits and increased pre-transplant morbidity.
  • Despite these challenges, overall transplant outcomes and graft survival have significantly improved for both adult and pediatric populations.
  • Continued monitoring and potential system adjustments are warranted to address evolving challenges in liver allocation.