Liver transplantation
Liver transplantation is a surgical therapy in which a diseased or failing liver is replaced with a donor liver or a suitable partial graft.
Liver transplantation is a surgical therapy in which a diseased or failing liver is replaced with a donor liver or a suitable partial graft. It is used across a broad range of conditions, including decompensated cirrhosis, acute-on-chronic liver failure, hepatocellular carcinoma, and selected pediatric and rare diseases such as biliary atresia, gestational alloimmune liver disease, and progressive familial intrahepatic cholestasis. In hepatocellular carcinoma, transplantation can provide definitive treatment in appropriately selected patients, while timely evaluation and disease characteristics such as treatment-related tumor necrosis influence recurrence-free and overall survival.
Clinical outcomes depend on recipient condition, graft quality, surgical technique, and perioperative care. Living-donor transplantation and donation after circulatory death have increased the importance of graft preservation and assessment using hypothermic oxygenated perfusion, normothermic regional perfusion, and ex situ normothermic machine perfusion. Important complications and outcome measures include early mortality, acute kidney injury, biliary anastomotic strictures, graft survival, and long-term survival. Current work also addresses access to transplantation, operative timing, risk prediction using artificial intelligence, and strategies to expand transplantation while maintaining safety.
Where the papers sit
15 papers from the last 6 months study liver transplantation directly · updated from PubMed 2 Nov 2026
Study type 0 clinical trials · 13 observational · 1 human data · 1 unclassified
Themes 3 themes
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Liver Transplant Indications and Outcomes
Liver transplantation is examined across access, indication, perioperative risk and long-term outcomes rather than around one disease. HCC studies address evaluation, recurrence-free survival and projected surgical capacity, while ACLF work emphasizes the patient’s initial trajectory. Pediatric and rare indications include biliary atresia, gestational alloimmune liver disease and erythropoietic protoporphyria. Other papers address HBV-HDV transmission, 30-day mortality and preparation for surgery, with no single therapeutic direction emerging.
9 papers · 60%
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Machine Perfusion and Graft Survival
Normothermic regional and ex situ machine perfusion are being compared with hypothermic oxygenated perfusion to preserve and assess marginal donor livers. Real-world cohorts focus on graft survival and the practical expansion of donation after circulatory death. National practice patterns increasingly treat regional and ex situ approaches as complementary rather than mutually exclusive. Out-of-hours transplantation adds an operational question, linking timing of surgery to post-transplant outcomes.
3 papers · 20%
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Perioperative Transplant Care
Acute kidney injury is the main recurring concern, with retrospective risk-factor analysis and machine-learning nomograms aimed at earlier postoperative prediction. Multivariable logistic regression links risk to perioperative timing and clinical factors, but external validation remains limited. A separate technical strand focuses on bile duct anastomosis, emphasizing reproducible strategies as surgeons progress from novice to mastery. The cluster therefore centers on reducing surgical morbidity through risk stratification and technical standardization.
3 papers · 20%
Papers
The 15 papers from the last 6 months that study liver transplantation directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
Liver Transplant Indications and Outcomes (9)
- Social and clinical determinants of liver transplant evaluation in hepatocellular carcinoma: A multicenter cohort study. Hepatology communications · 29 Oct 2026 PMID 42951913
- Complete necrosis of HCC improves recurrence-free and overall survival after transplantation independent of baseline risk. Hepatology communications · 28 Oct 2026 PMID 42951880
- Future surgical strategies for hepatocellular carcinoma in Italy: a strategic framework and scenario-based projection of liver transplantation and hepatic resection from 2027 onwards. Updates in surgery · 28 Sept 2026 PMID 42806229
- Primary Liver Transplantation for Biliary Atresia: Another Piece of the Puzzle. Pediatric transplantation · 26 Sept 2026 PMID 42798226
- Liver Transplantation for Gestational Alloimmune Liver Disease: Outcomes Analysis From Retrospective Cohort and National Case Series. Pediatric transplantation · 26 Sept 2026 PMID 42798212
- Access to liver transplantation for ACLF patients in a French center: initial trajectory matters. Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 14 Sept 2026 PMID 42736100
- Mathematical modeling of HBV-HDV transmission with superinfection: The role of vaccination and liver transplantation in disease dynamics. PloS one · 9 Sept 2026 PMID 42715288
- Perioperative management of a child with X-linked erythropoietic protoporphyria undergoing dental surgery in preparation for liver transplantation. BMJ case reports · 5 Sept 2026 PMID 42700979
- Prognostic Indicators and Risk Factors Associated With 30-Day Mortality After Liver Transplantation: A 13-Year Retrospective Cohort Study. Transplantation proceedings · 19 Aug 2026 PMID 42618409
Machine Perfusion and Graft Survival (3)
- Normothermic Regional Perfusion, Ex Situ Normothermic Machine Perfusion, or Both? National Trends in Donation After Circulatory Death Liver Transplantation. Transplantation proceedings · 15 Sept 2026 PMID 42744742
- Real-World Analysis of Hypothermic Oxygenated Perfusion and Normothermic Machine Perfusion in Liver Transplantation: An International Cohort Study. Annals of surgery · 2 Sept 2026 PMID 42684111
- The Impact of Out-of-Hours Liver Transplantation on Outcomes: A Swedish National Study. Annals of surgery · 2 Sept 2026 PMID 42681564
Perioperative Transplant Care (3)
- Fundamental Strategies and Technical Perspectives in Bile Duct Anastomosis for Living Donor Liver Transplantation: Growth From Novice to Maturity. Annals of transplantation · 27 Oct 2026 PMID 42934937
- Machine learning-based nomogram for acute kidney injury after liver transplantation. Renal failure · 27 Sept 2026 PMID 42802088
- Risk Factors for Acute Kidney Injury After Conventional Open Liver Transplantation: A Single-Center Retrospective Cohort Study. Transplantation proceedings · 16 Sept 2026 PMID 42749569
By study type
Observational studies and case reports (13)
- Social and clinical determinants of liver transplant evaluation in hepatocellular carcinoma: A multicenter cohort study. Hepatology communications · 29 Oct 2026 PMID 42951913
- Complete necrosis of HCC improves recurrence-free and overall survival after transplantation independent of baseline risk. Hepatology communications · 28 Oct 2026 PMID 42951880
- Fundamental Strategies and Technical Perspectives in Bile Duct Anastomosis for Living Donor Liver Transplantation: Growth From Novice to Maturity. Annals of transplantation · 27 Oct 2026 PMID 42934937
- Machine learning-based nomogram for acute kidney injury after liver transplantation. Renal failure · 27 Sept 2026 PMID 42802088
- Primary Liver Transplantation for Biliary Atresia: Another Piece of the Puzzle. Pediatric transplantation · 26 Sept 2026 PMID 42798226
- Liver Transplantation for Gestational Alloimmune Liver Disease: Outcomes Analysis From Retrospective Cohort and National Case Series. Pediatric transplantation · 26 Sept 2026 PMID 42798212
- Risk Factors for Acute Kidney Injury After Conventional Open Liver Transplantation: A Single-Center Retrospective Cohort Study. Transplantation proceedings · 16 Sept 2026 PMID 42749569
- Normothermic Regional Perfusion, Ex Situ Normothermic Machine Perfusion, or Both? National Trends in Donation After Circulatory Death Liver Transplantation. Transplantation proceedings · 15 Sept 2026 PMID 42744742
- Access to liver transplantation for ACLF patients in a French center: initial trajectory matters. Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 14 Sept 2026 PMID 42736100
- Perioperative management of a child with X-linked erythropoietic protoporphyria undergoing dental surgery in preparation for liver transplantation. BMJ case reports · 5 Sept 2026 PMID 42700979
- Real-World Analysis of Hypothermic Oxygenated Perfusion and Normothermic Machine Perfusion in Liver Transplantation: An International Cohort Study. Annals of surgery · 2 Sept 2026 PMID 42684111
- The Impact of Out-of-Hours Liver Transplantation on Outcomes: A Swedish National Study. Annals of surgery · 2 Sept 2026 PMID 42681564
- Prognostic Indicators and Risk Factors Associated With 30-Day Mortality After Liver Transplantation: A 13-Year Retrospective Cohort Study. Transplantation proceedings · 19 Aug 2026 PMID 42618409
Human data, design not indexed (1)
- Mathematical modeling of HBV-HDV transmission with superinfection: The role of vaccination and liver transplantation in disease dynamics. PloS one · 9 Sept 2026 PMID 42715288
Unclassified: not yet indexed with MeSH (1)
- Future surgical strategies for hepatocellular carcinoma in Italy: a strategic framework and scenario-based projection of liver transplantation and hepatic resection from 2027 onwards. Updates in surgery · 28 Sept 2026 PMID 42806229
Written from 15 PubMed abstracts, each one listed by PMID above. Published: 2026-11-02. Drafted by language models from published abstracts; not medical advice.