Abstract
Living donor liver transplantation (LDLT) is probably the most high-profile of all surgical enterprises. At the same time, it is an amazing act of altruism. As the demand for LT continues to increase, LDLT provides life-saving therapy for many patients who would otherwise die awaiting a cadaveric organ. As long as the donor shortage continues to increase, LDLT will play an important role in the future of LT. Today, liver transplantation (LT) represents the treatment of choice for end-stage liver disease and represents the culmination of a long history of innovations made by liver surgeons based on hemorrhage control, appreciating the occurrence of regeneration and understanding the liver anatomy. In the past few years, a number of centers with significant laparoscopic and living donor experience have reported fully minimally invasive approach to hemi-hepatectomies. It has invaluable potential to alleviate the vast gap between supply and demand of hepatic allografts, even though its advantages such as shorter hospital stay and faster return to normal life could attract additional living donors, safety for donors is still being questioned and investigated due to its relatively recent development.
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