Abstract
The most impor-tantdeterminantsinrecipientoutcomeafterLDLTarethe careful selection of living donor and recipient, andthe technical skill and experience of the surgical team.While the use of marginal cadaveric donor livers is anappropriatestrategytoincreasethenumberofavailablegrafts for transplantation, only perfect “or almost per-fect” livers can be used in LDLT, because a healthyliving donor is concomitantly placed at risk. The pres-ence of any kind of hepatitis, fibrosis, and moderate /severesteatosisareabsolutecontraindicationsforlivingdonation in most centers. However, whether potentialdonor with mild steatosis ( 30% steatosis) should bedenied from donation remains controversial.Steatosis is increasingly prevalent in most societies,and is mainly related to obesity.
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