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ILTS-iLDLT Group consensus guidelines: Early postoperative management for living liver donor safety
Consensus guidelines from the International Liver Transplantation Society (ILTS) and the International Living Donor Liver Transplantation (iLDLT) Group on early postoperative considerations for the safe care of donors undergoing living donor liver transplantation (LDLT) were published in Liver Transplantation by Sayed et al.
Key data: Using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system and the Danish consensus model, Working Group III (WGIII) developed recommendations across four domains: standardized postoperative monitoring in specialized units with 24-hour provider availability; perioperative antibiotic prophylaxis and venous thromboembolism prophylaxis; structured management of biliary and vascular complications; and structured follow-up within 7 days of discharge, incorporating laboratory, wound, pain, and psychosocial assessments.
Key learning: The consensus recommendations have the potential to standardize care, reduce complications, and improve short-term outcomes in living liver donors.
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