• RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    Other studies have shown improved survival of HCC patients that underwent LDLT levitra coupon compared to those that underwent LT with a graft from a deceased donor (86% vs. Primarily, one has to consider that this is an operation that involves significant risk for a healthy living donor, as it is unique in surgery as a procedure that patients undergo without any health benefit for themselves. There is the belief that this strategy also helps better select HCC patients for LT, as those patients that after TACE or RFA have stable disease can achieve five-year survival of 70%, as opposed to those in whom the tumor continues to grow after the locoregional treatments and who have a five-year survival of only 35% [60]. In a study from Japan, where LDLT is much more prevalent, of 376 patients with HCC that underwent LDLT, the one- and three-year survivals were 68% and 59% respectively, whereas the oneand three-year recurrence-free survivals were 53% and 35% respectively [61]. Additionally, although it does offer the possibility of a more aggressive approach, in that patients that are outside criteria can be transplanted since they have their own living donor, it does raise the question of what should happen if the living donor graft fails and whether that recipient would now have immediate access to the deceased donor waiting list, something that would not have been possible before.

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