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DSS,

Gwoli scislosci: od lat robi sie "polowkowe" przeszczepy watroby!
Nazywa sie to "living donor transplantation".
Najczesciej robi sie takie przeszczepy dzieciom ale rowniez doroslym i rowniez chorym na raka watroby
Choc moze nie w Polsce.

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Living donors: Avoiding a long wait is possible if a person with liver disease has a living donor who is willing to donate part of his or her liver. This procedure is known as living donor liver transplantation. The donor must have major abdominal surgery to remove the part of the liver that will become the graft (also called a liver allograft, which is the name for the transplanted piece of liver). As techniques in liver surgery have improved, the risk of death in people who donate a part of their liver has dropped to about 1%. The donated liver will be transplanted into the patient. The amount of liver that is donated will be about 50% of the recipient's current liver size. Within 6-8 weeks, both the donated pieces of liver and the remaining part in the donor grow to normal size.

Until 1999, living donor transplantation was generally considered experimental, but it is now an accepted method. In the future, this procedure will be used more often because of the severe lack of livers from recently deceased donors.

The live donor procedure also allows greater flexibility for the patient because the procedure may be done for people who are in the lower stages of liver disease.

At present, only patients with the most severe liver disease are allowed to receive transplants. These are often patients in intensive care units who have a very short life expectancy, often classified as stage 1, or patients with very high MELD or PELD scores.

With a living donor, patients healthy enough to live at home may still receive a liver transplant. The living donor transplantation may also be more widely used because of the increase in hepatitis C virus infection and the importance of quickly finding transplants for people who have liver cancer. Finally, the success with living donor kidney transplants has encouraged increased use of such techniques.

Recipients of a living donor liver transplant go through the same evaluation process as those receiving a cadaveric liver (a liver from someone who has died). The donor also has blood tests and imaging studies of the liver performed to make sure it is healthy. The living donors, as with the deceased donors, must have the same blood type as the recipient. They must be aged 18-55 years, have a healthy liver, and be able to tolerate the surgery. The donor cannot receive any money or other form of payment for the donation. Finally, the donor must have a good social support system to aid in emotional aspects of going through the procedure.[/color]

Mayo Clinic

http://www.mayoclinic.org...transplant.html

Artrykul z Transplant Week

http://www.transplantweek.../What_Liver.htm

Interesujaca lektura:
Guidelines dot przeszczepow watroby od zywych dawcow obowiazujace w Nowej Poludniowej Walii (Australia)

http://www.health.nsw.gov...GL2008_019.html

pozdrawiam serdecznie