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This procedure is known as living donor liver transplantation.

The donor must have major abdominal surgery to remove the part of the liver that will become the graft (also called a liver allograft, which is the name for the transplanted piece of liver).

The liver transplantation procedure takes about 6-8 hours.

It is best that the patient carry a beeper or cell phone as he or she rises on the transplant list, so that they can be contacted and get to the hospital.Many donors are victims of some sort of trauma and have been declared brain dead.A donor with the right blood type and similar body weight is sought.The transplantation team usually consists of a number of people, including a transplant coordinator, a social worker, a hepatologist (liver specialist), and a transplant surgeon.It may be necessary to see a cardiologist (heart specialist) and pulmonologist (lung specialist), depending on the recipient's age and health problems.Local agencies, the Organ Procurement Organizations (OPO), facilitate the identification and procurement of livers for distribution through UNOS.The United States has been divided into regions to try to fairly distribute this scarce resource.Previously, patients awaiting livers were ranked as status 1, 2A, 2B, and 3, according to the severity of their current disease.Although the status 1 listing has remained, all other patients are now classified using the Model for End-Stage Liver Disease (MELD) scoring system if they are aged 18 years or older, or the Pediatric End-Stage Liver Disease (PELD) scoring system if they are younger than 18 years.Two commonly used methods are by specific disease process or a combination of laboratory abnormalities and clinical conditions that arise from the liver disease.Ultimately, the transplantation team takes into account the type of liver disease, the person's blood test results, and the person's health problems in order to determine who is a suitable candidate for transplantation.

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