1600 John F. Kennedy Blvd. Ste. 1800 Philadelphia, PA 19103-2899 TRANSPLANTATION OF THE LIVER ISBN 0-7216-0118-9 Copyright 2005, 1996 Elsevier Inc. All rights reserved.No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (+1) 215 238 7869, fax: (+1) 215 238 2239, e-mail: [email protected]. You may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting “Customer Support” and then “Obtaining Permissions.” Notice Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment, and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on his or her own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assume any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. The Publisher Library of Congress Cataloging-in-Publication Data Transplantation of the liver/[edited by] Ronald W. Busuttil, Goran B. Klintmalm.—2nd ed. p. ; cm. Includes bibliographical references and index. ISBN 0-7216-0118-9 1. Liver—Transplantation. I. Busuttil, Ronald W. II. Klintmalm, Goran B. [DNLM: 1. Liver Transplantation. WI 770 T7725 2005] RD546.T643 2005 617.5′5620592—dc22 2004053661 Acquisitions Editor:Judith Fletcher Developmental Editor:Agnes Byrne Publishing Services Manager:Tina Rebane Project Manager:Jodi Kaye Design Coordinator:Ellen Zanolle Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 Contributors Anantharaju Abhinandana, MD Paula Andreani, MD Gastroenterologist, Shoals Hospital, Surgeon, Hôpital Paul Brousse, Villejuif, Muscle Shoals, Alabama France Unusual Indications for Liver Split-Liver Transplantation for Two Adults Transplantation Nancy L. Ascher, MD, PhD Kareem Abu-Elmagd, MD, PhD Professor and Chair of Surgery, Professor of Surgery, University of Department of Surgery, University of Pittsburgh School of Medicine; California, San Francisco School of Director of Intestinal Transplant Services, Medicine, San Francisco, California Thomas E. Starzl Transplantation Rejection After Transplantation Institute, University of Pittsburgh Daniel Azoulay, MD Medical Center, Pittsburgh, Pennsylvania Professor of Surgery, Université Paris-Sud; Cell Migration, Chimerism, and Graft Hôpital Paul Brousse, Villejuif, France Acceptance, With Particular Reference to Split-Liver Transplantation for the Liver Two Adults Estella M. Alonso, MD Lars Bäckman, MD, PhD Associate Professor of Pediatrics, Associate Professor, Karolinska Institute, Northwestern University Feinberg School Stockholm; Director of Liver of Medicine; Director of Liver Transplantation, Department of Transplantation, Department of Transplantation and Liver Surgery, Pediatrics, Division of Gastroenterology, Sahlgrenska University Hospital, Hepatology and Nutrition, Children’s Gothenburg, Sweden Memorial Hospital, Chicago, Illinois Liver Organ Allocation: The European General Criteria for Pediatric Models Transplantation Maria H. Alonso, MD William F. Balistreri, MD Assistant Professor of Surgery, University Dorothy M. M. Kersten Professor of of Cincinnati College of Medicine; Pediatrics, University of Cincinnati Pediatric Surgeon, Cincinnati Children’s College of Medicine; Director, Division Hospital Medical Center, Cincinnati, Ohio of Gastroenterology, Hepatology, and Transplantation for Hepatic Malignancy in Nutrition; and Medical Director, Children Pediatric Liver Care Center, Cincinnati Children’s Hospital Medical Edwin C. Amos III, MD Center, Cincinnati, Ohio Associate Clinical Professor of Neurology, Transplantation for Cholestatic Liver David Geffen School of Medicine at Disease in the Pediatric Patient UCLA, Los Angeles; Attending Neurologist, St. John’s Hospital and Mehdi Baluch, MD Health Center, and Santa Monica UCLA Fellow in Gastroenterology, Loyola Medical Center, Santa Monica, University Medical Center, Maywood, California Illinois Postoperative Neurological Disorders and Unusual Indications for Liver Prognosis Transplantation v vi Contributors Thomas M. Beebe, BSN, RN John Brems, MD Database Manager, Israel Penn Associate Professor of Surgery, Loyola International Transplant Tumor Registry; University Medical School; Surgical Department of Surgery, Division of Director, Abdominal Transplantation, Transplantation, University of Cincinnati Loyola University Medical Center, College of Medicine, Cincinnati, Ohio Maywood, Illinois Transplant-Related Malignancies Unusual Indications for Liver Transplantation Steven H. Belle, PhD, MScHyg Associate Professor, Departments of Robert S. Brown, Jr., MD, MPH Epidemiology and Biostatistics, Associate Professor of Clinical Medicine University of Pittsburgh Graduate School and Pediatrics, Columbia University of Public Health, Pittsburgh, College of Physicians and Surgeons; Pennsylvania Chief, Center for Liver Disease and U.S. Trends in Liver Transplantation, Transplantation, New York-Presbyterian 1988 to 2001 Hospital, New York, New York Current Indications, Contraindications, Marina Berenguer, MD Delisting Criteria, and Timing for Liver Staff, Hospital Universitario La Fe, Transplantation Valencia, Spain Hepatitis C and Liver Transplantation Joseph F. Buell, MD, FACS Director, Israel Penn International Andres Besedovsky, MD Transplant Tumor Registry, Division of Clinical Research Scholar, Siragusa Transplantation; Assistant Professor of Transplantation Center, Children’s Surgery, Department of Surgery, Division Memorial Hospital, Chicago, Illinois of Transplantation, University of General Criteria for Pediatric Cincinnati College of Medicine, Transplantation Cincinnati, Ohio Jorge A. Bezerra, MD Transplant-Related Malignancies Associate Professor of Pediatrics, University of Cincinnati College of Medicine; Ronald W. Busuttil, MD, PhD Director, Biliary Atresia Center, and Professor and Chief, Division of Liver Associate Director, NIH-Digestive and Pancreas Transplantation and Research Development Center, Cincinnati Dumont Chair in Transplantation Surgery, Children’s Hospital Medical Center, David Geffen School of Medicine at Cincinnati, Ohio UCLA, Los Angeles, California Transplantation for Cholestatic Liver Management of Portal Hypertensive Disease in the Pediatric Patient Hemorrhage in the Era of Liver Transplantation; The Recipient Henri Bismuth, MD Hepatectomy and Grafting; Liver Professor, Université Paris-Sud; Hôpital Transplantation and Situs Inversus; Paul Brousse, Villejuif, France Retransplantation; Ischemia-Reperfusion Split-Liver Transplantation for Two Adults Injury of the Liver Kevin E. Bove, MD José Cañón, MD Professor of Pathology and Pediatrics, Medical Staff, Organizacion Nacional de University of Cincinnati College of Transplantes, Madrid, Spain Medicine; Staff Pathologist, Cincinnati Liver Organ Allocation: The European Children’s Hospital Medical Center, Models Cincinnati, Ohio Ian C. Carmody, MD, FRCS(C) Transplantation for Hepatic Malignancy in Clinical Instructor, Department of Liver Children and Pancreas Transplantation, Lynda Brady, MD David Geffen School of Medicine at Assistant Professor of Pediatrics, UCLA, Los Angeles, California The University of Chicago Stritch School Treatment of Acute and Chronic Rejection; of Medicine, Chicago, Illinois Arterial Complications After Liver Transplantation for Biliary Atresia Transplantation Contributors vii J. Michael Cecka, PhD Steven D. Colquhoun, MD Professor and Director of Clinical Research, Associate Professor, Department of Surgery, Department of Pathology and Laboratory David Geffen School of Medicine at Medicine, David Geffen School of UCLA; Director of Liver Transplantation, Medicine at UCLA, Los Angeles, California Cedars-Sinai Medical Center, Los Angeles, ABO, Tissue Typing, and Cross-match California Incompatibility in Liver Transplantation Graft Failure: Etiology, Recognition, and Treatment Ravi S. Chari, MD Surgical Oncologist, Vanderbilt University A. Benedict Cosimi, MD Medical Center, Nashville, Tennessee Claude E. Welch Professor of Surgery, Extracorporeal Xenogeneic Liver Support Harvard Medical School; Chief, Transplantation Unit, Massachusetts Michael R. Charlton, MD General Hospital, Boston, Massachusetts Associate Professor of Medicine, William J. New Approaches in Immunosuppression Von Liebig Transplant Center, Mayo Clinic College of Medicine, Rochester, Terianne Cowling, BA Minnesota Research Associate, Baylor University Late Complications of Liver Transplantation Medical Center, Dallas, Texas and Recurrence of Disease Long-Term Functional Recovery and Quality of Life: Childhood, Adulthood, Pauline W. Chen, MD Employment, Pregnancy, and Family Assistant Professor, Division of Liver and Planning Pancreas Transplantation, David Geffen School of Medicine at UCLA; Surgeon, Jeffrey S. Crippin, MD Dumont-UCLA Liver Cancer Center and Professor of Medicine and Medical Director Dumont-UCLA Transplant Center, of Liver Transplantation, Washington Los Angeles, California University in St. Louis School of Treatment of Acute and Chronic Rejection Medicine, St. Louis, Missouri Transplantation for Sclerosing Cholangitis Wing S. Cheung, MD, MBA Staff, Harvard Medical School; Research David C. Cronin II, MD, PhD, FACS Fellow and Resident in General Surgery, Associate Professor and Director, Liver Massachusetts General Hospital, Boston, Transplantation, Department of Surgery, Massachusetts Yale University School of Medicine, Development of Bioartificial Liver New Haven, Connecticut Ethics of Living Donor Liver Srinath Chinnakotla, MBBS, MCh Transplantation Attending Transplant Surgeon, Baylor University Medical Center, Dallas, Texas Natividad Cuende, MD, PhD Induction and Maintenance of Medical Staff, Organizacion Nacional de Immunosuppression Transplantes, Madrid, Spain Liver Organ Allocation: The European Byung-Ho Choe, MD, PhD Models Associate Professor, Section of Gastroenterology, Department of Pediatrics, Timothy J. Davern II, MD Kyungpook National University School of Associate Professor of Medicine, University Medicine, Daegu, Republic of Korea of California, San Francisco, School of Transplantation for Cholestatic Liver Medicine; Attending Hepatologist, UCSF Disease in the Pediatric Patient Medical Center, San Francisco, California Molecular and Cellular Basis of Hepatic Pierre-Alain Clavien, MD, PhD Failure Chairman, Department of Visceral and Transplantation Surgery, University of Gary L. Davis, MD Zurich Faculty of Medicine; Chairman, Director, Division of Hepatology, Baylor Department of Visceral and University Medical Center; Medical Transplantation Surgery, Cantonal Director, Liver Transplantation, Baylor Hospital of Zurich, Zurich, Switzerland Regional Transplant Institute, Dallas, Texas Principles of Liver Preservation Natural History of Hepatitis C viii Contributors Jean de Ville de Goyet, MD, PhD, FRCS Bijan Eghtesad, MD Professor of Surgery, Université Catholique Associate Professor of Surgery, University de Louvain; Director of Abdominal of Pittsburgh School of Medicine, Transplant and Pediatric Surgery Pittsburgh, Pennsylvania Department, St. Luc University Hospital, Cell Migration, Chimerism, and Graft Brussels, Belgium Acceptance, With Particular Reference to Split-Liver Transplantation for the Pediatric the Liver and Adult Recipient Karan Emerick, MD Massimo Del Gaudio, MD Assistant Professor of Pediatrics, Professor, Université Paris-Sud; Northwestern University Feinberg School Hôpital Paul Brousse, Villejuif, France of Medicine; Attending Physician, Split-Liver Transplantation for Two Adults Division of Gastroenterology, Hepatology, and Nutrition, Department Anthony J. Demetris, MD of Pediatrics, Children’s Memorial Professor of Pathology, University of Hospital, Chicago, Illinois Pittsburgh School of Medicine; Director, General Criteria for Pediatric Division of Transplantation Pathology, Transplantation Thomas E. Starzl Transplantation Institute, University of Pittsburgh Jean C. Emond, MD Medical Center, Pittsburgh, Thomas S. Zimmer Professor of Surgery, Pennsylvania Columbia University College of Histological Patterns of Rejection and Other Physicians and Surgeons; Vice Chairman Causes of Liver Dysfunction; Cell of Transplantation and Chief of Migration, Chimerism, and Graft Transplantation, Center for Acceptance, With Particular Reference to Liver Disease and Transplantation, the Liver New York-Presbyterian Hospital, New York, New York Niraj M. Desai, MD Surgical Anatomy of the Liver; Outcomes of Assistant Professor of Surgery, Washington Living Donor Liver Transplantation; University in St. Louis School of Postoperative Care of Pediatric Liver Medicine; Staff Surgeon, Barnes-Jewish Transplant Recipients Hospital and St. Louis Children’s Hospital, St. Louis, Missouri Carlos O. Esquivel, MD, PhD Portal Vein Thrombosis and Other Venous Arnold and Barbara Silverman Professor of Anomalies in Liver Transplantation Pediatric Transplantation, Professor of Surgery, and Associate Director, Institute Sonu Dhillon, MD on Immunity, Transplantation, and Fellow in Gastroenterology, Loyola Infection, Stanford University School of University Medical Center, Maywood, Medicine; Chief, Division of Illinois Transplantation, and Director of Liver Unusual Indications for Liver and Intestinal Transplantation, Stanford Transplantation Hospital & Clinics, and Lucile Salter E. Roland Dickson, MD Packard Children’s Hospital, Stanford Mary Lowell Leary Professor of Medicine, University Medical Center, Palo Alto, Mayo Clinic College of Medicine; California Consultant, Mayo Clinic and Foundation, Results: Survival and Quality of Life After Rochester, Minnesota Orthotopic Liver Transplantation in Liver Transplantation for Primary Biliary Children Cirrhosis Idris V. R. Evans, MSc Vivek Dixit, PhD Professor, Department of Epidemiology, Professor of Medicine, Department of University of Pittsburgh Graduate School Medicine, Division of Digestive Diseases, of Public Health, Pittsburgh, David Geffen School of Medicine at Pennsylvania UCLA, Los Angeles, California U.S. Trends in Liver Transplantation, Hepatocyte Transplantation in Liver Disease 1988 to 2001 Contributors ix Douglas G. Farmer, MD Ira J. Fox, MD Associate Professor of Surgery, David Charles W. McLaughlin Professor of Geffen School of Medicine at UCLA; Surgery, University of Nebraska College Director, Intestinal Transplantation Center, of Medicine, Omaha, Nebraska UCLA Medical Center, Los Angeles, Xenotransplantation and the Liver California Richard B. Freeman, Jr., MD Liver Transplantation and Situs Inversus Professor of Surgery, Tufts University Scott A. Fink, MD, MPH School of Medicine; Surgeon, Division of Clinical Fellow, Harvard Medical School; Transplant Surgery, Tufts-New England Clinical Fellow, Division of Medical Center, Boston, Massachusetts Gastroenterology, Brigham and Women’s Liver Allocation: The U.S. Model Hospital, Boston, Massachusetts J. Mark Fulmer, MD Current Indications, Contraindications, Staff Radiologist, Baylor University Medical Delisting Criteria, and Timing for Liver Center; President, American Radiology Transplantation Associates, P.A., Dallas, Texas Sander S. Florman, MD Transplantation for Primary Hepatic Assistant Professor of Surgery and Malignancy; Transplantation for Pediatrics and Associate Residency Budd-Chiari Syndrome Program Director, Tulane University John J. Fung, MD, PhD School of Medicine; Director of Liver Professor of Surgery, Department of Transplantation, Tulane University General Surgery, Cleveland Clinic Hospital and Clinic, New Orleans, Foundation, Cleveland, Ohio Louisiana History of Liver and Multivisceral Adult Living Donor Hepatectomy and Transplantation; Cell Migration, Recipient Operation Chimerism, and Graft Acceptance, Constantino Fondevila, MD, PhD With Particular Reference to the Liver Assistant Researcher, Division of Liver and Sunil K. Geevarghese, MD Pancreas Transplantation, David Geffen Division of Surgical Oncology, Division of School of Medicine at UCLA, Los Angeles, Hepatobiliary Surgery and Liver California; Transplant Surgeon, Transplantation, Vanderbilt Transplant Liver Unit, Digestive Disease Institute Center and Vanderbilt-Ingram Cancer University of Barcelona Hospital Clinic, Center, Vanderbilt University School of Barcelona, Spain Medicine, Nashville, Tennessee Donor Selection and Management; Management of Portal Hypertensive Ischemia-Reperfusion Injury of the Liver Hemorrhage in the Era of Liver Paulo Fontes, MD Transplantation Assistant Professor of Surgery, University Magdalene M. George, PhD of Pittsburgh School of Medicine; Research Associate, St. Luke’s Medical Co-Director, Liver Transplantation, Center, Milwaukee, Wisconsin Thomas E. Starzl Transplantation Unusual Indications for Liver Institute, University of Pittsburgh Transplantation Medical Center, Pittsburgh, Pennsylvania Cell Migration, Chimerism, and Graft Till Gerling, MD, PhD Acceptance, With Particular Reference to Medical Staff, Eurotransplant International the Liver Foundation, Leiden, The Netherlands Liver Organ Allocation: The European Models John L. R. Forsythe, MBBS, MD, FRCS(Ed), FRCS(Eng) Rafik M. Ghobrial, MD, PhD Senior Lecturer, University of Edinburgh Professor of Surgery, Division of Liver and Faculty of Medicine, Edinburgh; Pancreas Transplantation, David Geffen Consultant Transplant Surgeon and School of Medicine at UCLA, Clinical Director, Royal Infirmary of Los Angeles, California Edinburgh, Edinburgh, Scotland Donor Selection and Management; Outcome Liver Organ Allocation: The European Models Predictors in Liver Transplantation x Contributors Antoinette S. Gomes, MD Jeanette Hasse, PhD, RD, FADA, CNSD Professor, Radiological Sciences and Transplant Nutrition Specialist, Transplant Medicine, David Geffen School of Medicine Services, Baylor University Medical at UCLA; Physician, Cardiovascular and Center, Dallas, Texas Interventional Radiology, UCLA Medical Nutritional Aspects of Adult Liver Center, Los Angeles, California Transplantation Radiologic Evaluation in the Liver Paul H. Hayashi, MD Transplant Patient Transplant Hepatology Fellow, University of Thomas A. Gonwa, MD, FACP Colorado Health Sciences Center, Denver, Professor of Medicine, Mayo Clinic College Colorado of Medicine, Rochester, Minnesota; Donor and Recipient Evaluation and Medical Director, Kidney/Pancreas Selection for Adult-to-Adult Right Hepatic Transplantation, and Director, Division of Lobe Liver Transplantation Transplant Medicine, Department of Transplantation Mayo Clinic Jacksonville Martin Hertl, MD and St. Luke’s Hospital, Jacksonville, Assistant Professor of Surgery, Harvard Florida Medical School; Surgical Director, Pretransplantation Evaluation: Pulmonary, Liver Transplantation, Massachusetts Cardiac, and Renal General Hospital, Boston, Massachusetts Sherilyn A. Gordon, MD New Approaches in Immunosuppression Assistant Professor of Surgery, Division of Liver and Pancreas Transplantation, Jonathan R. Hiatt, MD David Geffen School of Medicine at Professor of Surgery and Director of UCLA; Dumont-UCLA Transplant Center, Surgical Education, Division of Liver and Los Angeles, California Pancreas Transplantation, David Geffen Surgical Anatomy of the Liver; Arterial School of Medicine at UCLA, Complications After Liver Transplantation Los Angeles, California Michael D. Green, MD, MPH Influence of Liver Transplantation on Liver Professor of Pediatrics and Surgery, Surgery; Management of Portal University of Pittsburgh School of Hypertensive Hemorrhage in the Era of Medicine; Staff, Children’s Hospital of Liver Transplantation Pittsburgh, Pittsburgh, Pennsylvania Ryutaro Hirose, MD, FACS Pretransplantation Infectious Disease Assistant Professor in Residence, Division Screening for Liver Transplantation: of Transplantation, Department of Candidates and Donors Surgery, University of California, Raza Hamdani, MD San Francisco, School of Medicine, Staff Hepatologist, St. Luke’s Medical San Francisco, California Center, Milwaukee, Wisconsin Novel Immunosuppressive Agents Unusual Indications for Liver Transplantation Garrett M. Hisatake, MD Surgeon, Department of Transplantation, Michael J. Hanaway, MD California Pacific Medical Center, Director of Pancreas Transplantation, San Francisco, California Department of Surgery, University of Influence of Liver Transplantation on Liver Cincinnati College of Medicine, Cincinnati, Surgery Ohio Transplant-Related Malignancies Curtis D. Holt, PharmD Rick Harrison, MD Associate Clinical Professor, Department of Professor of Clinical Pediatrics, David Surgery, David Geffen School of Geffen School of Medicine at UCLA; Medicine at UCLA, Los Angeles; Co-Director, Pediatric Intensive Care Unit, Associate Clinical Professor, Mattel Children’s Hospital, Los Angeles, University of California, San Francisco, California School of Pharmacy, San Francisco, Postoperative Intensive Care Management California in Children Infections After Liver Transplantation Contributors xi Yukihiro Inomata, MD Goran B. Klintmalm, MD, PhD Professor and Director, Kumamoto Chairman and Chief, Baylor Regional University Faculty of Medicine and Transplant Institute; Director, Pharmaceutical Sciences, Department of Transplantation Services; Director, Pediatric Surgery, Kumamoto, Japan Dallas Liver Transplant Program, Living Related Liver Transplantation in Baylor University Medical Center, Pediatric Recipients Dallas, Texas Transplantation for Primary Hepatic Sheila Jowsey, MD Malignancy; Transplantation for Budd- Assistant Professor, Mayo Clinic College of Chiari Syndrome; The Recipient Medicine; Consultant, Saint Mary’s Hepatectomy and Grafting; Combined Hospital and Rochester Methodist Liver-Kidney Transplantation; Hospital, Rochester, Minnesota Postoperative Intensive Care Unit Psychosocial Assessment of Adult Liver Management: Adult Liver Transplant Transplant Recipients Recipients; Postoperative Management Oded Jurim, MD Beyond the Intensive Care Unit: Adults; Staff, Hadassah University Medical Center, Induction and Maintenance of Hebrew University of Jerusalem, Immunosuppression; Outcome Jerusalem, Israel Predictors in Liver Transplantation; Retransplantation Long-Term Functional Recovery and Igal Kam, MD Quality of Life: Childhood, Adulthood, Professor, Division of Transplant Surgery, Employment, Pregnancy, and Family University of Colorado School of Planning Medicine; Chief, Liver Transplantation, Gregg Kunder, BS, BSN, CCTC University of Colorado Health Sciences Transplant Coordinator, The Pfleger Liver Center, Denver, Colorado Institute and Dumont–UCLA Transplant Donor and Recipient Evaluation and Center, UCLA Medical Center, Selection for Adult-to-Adult Right Hepatic Los Angeles, California Lobe Liver Transplantation Role of the Posttransplant Coordinator Tomoaki Kato, MD Jerzy W. Kupiec-Weglinski, MD, PhD Associate Professor of Surgery, University of Professor of Surgery and Pathology, Miami College of Medicine, Miami, Florida David Geffen School of Medicine at Transplantation of the Liver with Digestive UCLA; Director, Dumont-UCLA Organs Transplantation Research Laboratories, Cesar A. Keller, MD, FCCP Los Angeles, California Professor of Medicine, Mayo Clinic College Ischemia-Reperfusion Injury of of Medicine, Rochester, Minnesota; the Liver Medical Director, Heart-Lung and Lung Transplant Program, Transplant Center, Chi Lai, MD Mayo Clinic, Jacksonville, Florida Transplant Pathology Fellow, University of Pretransplantation Evaluation: Pulmonary, Pittsburgh Medical Center, Pittsburgh, Cardiac, and Renal Pennsylvania Histological Patterns of Rejection and Other W. Ray Kim, MD, MBA Causes of Liver Dysfunction Associate Professor of Medicine, Mayo Clinic College of Medicine; Consultant, John Lake, MD Mayo Clinic, Rochester, Minnesota Professor of Medicine and Surgery, Liver Transplantation for Primary Biliary University of Minnesota Medical School– Cirrhosis Minneapolis; Director, Division of Cindy J. Kin, BA Gastroenterology, Hepatology and Medical Student, Columbia University Nutrition; Director, Liver Transplantation College of Physicians and Surgeons, Program, Fairview-University New York, New York Medical Center, Minneapolis, Outcomes of Living Donor Liver Minnesota Transplantation Hepatitis C and Liver Transplantation xii Contributors Charles R. Lassman, MD, PhD David S. K. Lu, MD Associate Professor of Pathology and Professor of Radiology, David Geffen Laboratory Medicine, David Geffen School of Medicine at UCLA; Director, School of Medicine at UCLA; Chief, Computed Tomography, and Chief, Hepatobiliary Pathology, Chief, Renal Cross Sectional Interventional Service, Pathology, and Associate Chief, UCLA Medical Center, Los Angeles, Autopsy Pathology, UCLA Medical California Center, Los Angeles, California Imaging Techniques in Living Donor Pathology of Recurrence of Non-Neoplastic Transplantation Disease After Liver Transplantation Zhengbin Lu, MD, PhD Susan M. Lerner, MD Hepatic and Gastric Pathologist, Assistant Professor of Surgery and Director, Ameripath, Inc., Indianapolis, Surgery Clerkship, Penn State University Indiana College of Medicine; Surgical Director, Histological Patterns of Rejection and Other Liver Transplantation, Penn State Milton S. Causes of Liver Dysfunction Hershey Medical Center, Hershey, Pennsylvania Michael R. Lucey, MD, FRCPI Retransplantation Professor of Medicine, Department of Marlon F. Levy, MD Medicine, University of Wisconsin Assistant Director and Transplant Surgeon, Medical School; Chief, Section of Baylor University Medical Center, Dallas, Gastroenterology and Hepatology, Texas; Surgical Director of Transplantation, University Hospital and Clinic, Baylor All Saints Medical Center, Madison, Wisconsin Fort Worth, Texas Liver Transplantation for Alcoholic Long-Term Functional Recovery and Quality Liver Disease of Life: Childhood, Adulthood, Employment, Pregnancy, and Family Martin L. Mai, MD Planning; Extracorporeal Xenogeneic Assistant Professor of Medicine, Mayo Liver Support Clinic College of Medicine, Rochester, Minnesota; Consultant, Department of S. David Li, MD Transplantation, Mayo Clinic, Jacksonville, Staff, Immanuel St. Joseph’s-Mayo Health Florida System, Mankato, Minnesota Pretransplantation Evaluation: Pulmonary, Unusual Indications for Liver Transplantation Cardiac, and Renal Piyaporn Limanond, MD Instructor, Department of Radiology, Cosme Y. Manzarbeitia, MD, FACS Mahidol University Faculty of Medicine; Chairman, Division of Transplantation, Radiologist, Siriraj Hospital, Bangkok, and Director, Liver Transplantation and Thailand Hepatobiliary Surgery Program, Imaging Techniques in Living Donor Department of Surgery, Albert Einstein Transplantation Medical Center, Philadelphia, Pennsylvania Gerald S. Lipshutz, MD, MS Non–Heart-Beating Donor Liver Assistant Professor of Surgery, Division of Transplantation Liver and Pancreas Transplantation, David Geffen School of Medicine at Amadeo Marcos, MD UCLA, Los Angeles, California Professor of Surgery, University of Rejection After Transplantation Pittsburgh School of Medicine; Clinical Steven J. Lobritto, MD Director of Transplantation, Thomas E. Associate Professor of Medicine and Starzl Transplantation Institute, Pediatrics, Columbia University College University of Pittsburgh Medical Center, of Physicians and Surgeons; Pediatric Pittsburgh, Pennsylvania Medical Director, New York-Presbyterian History of Liver and Multivisceral Hospital, New York, New York Transplantation; Cell Migration, Postoperative Care of Pediatric Liver Chimerism, and Graft Acceptance, Transplant Recipients with Particular Reference to the Liver Contributors xiii Victor J. Marder, MD Charles M. Miller, MD Professor of Clinical Medicine, David Associate Professor of Surgery, Cleveland Geffen School of Medicine at UCLA; Clinic Lerner College of Medicine, Director, Vascular Medicine Program, Case Western Reserve University; Orthopaedic Hospital, Los Angeles, Director, Liver Transplantation, California Department of General Surgery, Liver Transplantation for Hematological Cleveland Clinic Foundation, Disorders Cleveland, Ohio Adult Living Donor Hepatectomy and Carlos Margarit, MD, PhD Recipient Operation Professor of Surgery, Universidad Autonoma de Barcelona; Director, Liver J. Michael Millis, MD Transplantation Unit, Hospital Vall Professor of Surgery, The University of Hebron, Barcelona, Spain Chicago Pritzker School of Medicine; Liver Organ Allocation: The European Chief, Section of Transplantation, Models; Auxiliary Liver Transplantation The University of Chicago Hospitals, James Markmann, MD, PhD Chicago, Illinois Associate Professor of Surgery, University Transplantation for Biliary Atresia of Pennsylvania School of Medicine; Ayse L. Mindikoglu, MD Surgeon, University of Pennsylvania AASLD Research Fellow, University of Hospital, Philadelphia, Pennsylvania Miami School of Medicine, Center for Retransplantation Liver Disease; Research Fellow, Suzanne V. McDiarmid, MD Miami VA Medical Center, Miami, Professor of Pediatrics and Surgery, David Florida Geffen School of Medicine at UCLA; Unusual Indications for Liver Director, Pediatric Liver Transplantation, Transplantation ULCA Medical Center, Los Angeles, California Marida Minervini Liver Transplantation for Metabolic Disease; Staff, University of Pittsburgh Special Considerations for Pediatric Medical Center; Pittsburgh, Immunosuppression After Liver Pennsylvania Transplantation Histological Patterns of Rejection and Other Causes of Liver Dysfunction K. V. Narayanan Menon, MD Assistant Professor of Medicine, Bianca Miranda, MD, PhD William J. Von Liebig Transplant Center, Medical Director, Organizacion Nacional de Mayo Medical School, Rochester, Trasplantes, Madrid, Spain Minnesota Liver Organ Allocation: The European Late Complications of Liver Transplantation Models and Recurrence of Disease Ernesto P. Molmenti, MD, PhD William C. Meyers, MD Associate Professor of Surgery, Professor of Surgery, Duke University Transplantation and General School of Medicine; Associate Director, Surgery, Johns Hopkins University Endosurgical Center, Duke University School of Medicine; Consultant, Medical Center, Durham, Johns Hopkins Hospital, Baltimore, North Carolina Maryland Extracorporeal Xenogeneic Liver Support Clinical Management of the Necrotic Liver Marian G. Michaels, MD, MPH During Transplantation Associate Professor of Pediatrics and Surgery, University of Pittsburgh School Ferdinand Mühlbacher, MD of Medicine; Staff, Children’s Hospital of Professor of Surgery, Medical University of Pittsburgh, Pittsburgh, Pennsylvania Vienna; Staff, Vienna General Hospital, Pretransplantation Infectious Disease Vienna, Austria Screening for Liver Transplantation: Liver Transplantation for Metastases of the Candidates and Donors Liver