immunology allergic disorders
Liver Transplantation
Procedure
Deceased-donor livers are removed after exploratory laparotomy confirms absence of advanced or metastatic hepatocellular carcinoma, which would preclude transplantation. Living donors undergo lobar or segmental resection. Explanted livers are perfused and stored in a cold preservation solution for up to 18 hours before transplantation; incidence of graft nonfunction and ischemic-type biliary injury increases with prolonged storage. Recipient hepatectomy is the most demanding part of the procedure because it is often done in patients with Portal Hypertension and vary (see Posttransplantation Immunosuppression . Commonly, anti-IL-2 receptor monoclonal antibodies are given on the day of transplantation, with a calcineurin inhibitor ( 