Psychosomatic aspects of living donor liver transplantation

Living donor liver transplantation (LDLT) offers the option to reduce organ scarcity and thereby waiting list mortality. The crucial ethical problem of LDLT is the fact that the well being of a donor is being jeopardized for the improvement of quality of life of the recipient. To preserve mental hea...

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Bibliographic Details
Published in:Chirurg 2010-09, Vol.81 (9), p.820
Main Authors: Erim, Y, Beckmann, M, Gerken, G, Paul, A, Senf, W, Beckebaum, S
Format: Article
Language:ger
Subjects:
Adult
Child
Family
Female
Hepatectomy - psychology
Humans
Liver Transplantation - methods
Living Donors - psychology
Living Donors - supply & distribution
Male
Mental Disorders - epidemiology
Mental Disorders - etiology
Parent-Child Relations
Psychotherapy
Quality of Life
Social Support
Truth Disclosure
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Summary:Living donor liver transplantation (LDLT) offers the option to reduce organ scarcity and thereby waiting list mortality. The crucial ethical problem of LDLT is the fact that the well being of a donor is being jeopardized for the improvement of quality of life of the recipient. To preserve mental health of the donors, psychosomatic evaluation should be conducted including examination of the coping capacity, the mental stability of the donor and the voluntary nature of the donation. Thus a comprehensive disclosure of information to donors is necessary. Realistic outcome expectations, family relationships without extreme conflicts, sufficient autonomy of the donor-recipient relationship and social and familiar support are predictors facilitating a favorable psychosocial outcome for the donor. Before and after LDLT the health-related quality of life of the donors is similar or increased in comparison to the general population. Psychiatric complications following LDLT can occur in 13% of the donors. Female donors, donors who have surgical complications themselves and donors with unrealistic outcome expectations should be given psychotherapeutic support before they are admitted to living liver donation. Urgent indications in the case of acute liver failure and the donation by adult children for their parents are particular stress factors. For the safety of the donor, these combinations should be avoided whenever possible.
ISSN:1433-0385
DOI:10.1007/s00104-009-1876-8