The feasibility of LDLT was first demonstrated in the United States in 1989. The recipient was a child, who received a segment of his mother's liver. Since that time, LDLT for children has enjoyed wide success and many pediatric programs use this technique. In the pediatric experience, survival of both the recipient and the transplanted liver (graft) at 1 year is about 90%. Donor complications have been very few.
A rising population of adult patients awaiting liver transplantation has led to the application of LDLT for adult patients and the results have been very encouraging. Very few centers in this country perform the procedure.
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