Right vs Left Hepatectomy for LDLT, Safety and Regional Preference

Purposeof Review We aim to gather up-to-date information on living liver donation trends, perspective and future directions, with a particular focus on donor safety and regional preference based on type of donor hepatectomy. Recent Findings Outcomes after donor hepatectomy have improved. Reported literature favors that there is no difference in complication rate based on hepatectomy side. Differences on living liver donation trends with a regional discrepancy are evident. Data shows that LDLT accounts for up to 90% of LT in Eastern countries, while it only accounts for < 10% in Western countries. Future directions include the wide dissemination of minimally invasive techniques. Donor hepatectomy is a safe and feasible procedure regardless of hepatectomy side. Donor safety should be ensured throughout a comprehensive and detailed donor evaluation, follow-up and interdisciplinary efforts. Western countries can benefit from the vast experience of Eastern countries to increase dissemination and adopt innovative techniques.