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Living Donor Liver Transplant Archive Questions

Below are Dr. LaMattina’s answers to Living Donor Liver Transplant questions
received through the Ask the Expert feature.

This content is provided for informational purposes only, and is not intended
to be a substitute for individual medical advice in diagnosing or treating a
health problem. Please consult with your physician about your specific health
care concerns.



Now displaying records 1 to 2 of 2.

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Q : 1

10/28/2012
Is it necessary that a live liver donor have a gall bladder? Mine was removed and I am considering donation.

It is not necessary to have a gallbladder to serve as an living donor. In fact, we remove the gallbladder as part of the donation surgery. The prior gallbladder surgery may make the donor operation more difficult due to scarring in that area, but may not exclude you from donation.


Q : 2

10/26/2012
Do you reject potential liver living donors with Factor V Leiden or prothrombin mutation G20210A ?

It is my feeling that most surgeons who perform the living donor operation would not proceed if the donor had a condition that made blood clots more likely. The best data that we have suggests that in living donor surgeries, there is an overall complication rate of about 1 in 3 patients. The vast majority of these are very minor. Nonetheless, my expectation in doing the surgery is that the donor will do perfectly well, and I am not willing to subject the donor to excessive risk. I do think that the increased likelihood of blood clots in patients with Factor V Leiden or prothrombin mutation G20210A would increase the potential risks of donation, and I personally would not want you to suffer a complication. I hope this proves helpful in your decision-making.


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