Scientific Programme

Keynote Speakers

Mark Cattrall

Mark Cattrall

Importance of Donor Safety / Understanding Risks – Reporting Complications

Kwang-Woong Lee

Kwang-Woong Lee

Contraindications to Living Liver Donation

WG chair: Nazia Selzner

WG members: Tiffany Wong, Toru Ikegami, Mettu Srinivas Reddy, Yaman Tokat, Tomoharu Yoshizumi, Anji Wall, Gokhan Kabacam, Vicky Ng (ped tx hepatologist), Swaytha Ganes, Francois Durand, Ted Sakai, Pooja Bhangui, Eric Yao (hematology), Kartik Jhaveri (Radiology), Susan Abbey(psych), Heather Bedanoch (patient partner)

VG: Madhukar Patel, Paolo Magistri, Qasim Khan

 

TOPICS for WG1
  • Who’s an ideal donor?
    • Age, ABO, BMI, etc.
    • What are the acceptable comorbidities?
      • Medical contraindications for donation?
      • Drug history? – neurological, allergies etc.
    • Assessment of liver quality
      • LFT
        • Acceptable limits – derangements before donation?
      • Assessment of steatosis in the donor? (MRI, Fibroscan, LAI, biopsy etc)
        • Acceptable limits
        • Interventions – to improve liver status
      • Procoagulant work-up? Mandatory, what should be done? Family history? Etc.
      • Disease specific work-up and extended tests?
      • Anatomical considerations
        • Mandatory radiological work-up.
          • Is MRI is it mandatory?
        • Absolute contraindication to donation
          • Implications for donor outcome / for recipient outcome
        • Safe remnant
          • Absolute contraindication
          • Relative contraindications
          • Optimizing remnant
        • Previous surgery – previous donations
          • Acceptability consideration

WG Chair:  Kim Olthoff

Panelists: Ki Hun-Kim, Dieter Broering, Subash Gupta, James Pomposelli, Deniz Balci, Yuji Soejima, Alfred Kow, Anand Ghanekar, Avi Humar, Rajesh Rajalingam, Stuart McClusky, Jim Findlay, Nicolas Goldaracena, Nancy Kwan Man

VG: Abdul Hakeem, Alexandra Shingina, Tommaso DiMaira

TOPICS for WG2
  1. Anesthesia
    • Standardized access and what should be minimal monitoring? (Central venous access, arterial line)
    • Locoregional pain control: may reference prior ERAS conference work

2. Surgery

  • Training requirements for ODH, PLDH and RDH. Centre volume – ideal number.
  • What are the standard surgical techniques? Incision – ideal for ODH
  • Inflow control, parenchymal transection techniques- best/preferred, bile duct visualization -ICG, IOC, bile duct division, drain placement?
  • MIS utilization: robotic vs lap? Bile duct division in MIDH
  • Standardized intra-op disaster pathway: in open/lap/robotic – uncontrolled hemorrhage or severe HD instability

WG Chair: Julie Heimbach

Panelists: Dong-Sik Kim, Gonzalo Sapisochin, Mureo Kasahara, Mark Ghobrial, Tarunjeet Klair, Akila Rajakumar, Dimtri Bezinovir, Cynthia Tsien, Gary May (advanced endoscopy), UHN IR, Tess Bitterman, Anne Marie Lapinski, Caitlin Don, Sudhindran

VG: Ryan Chadha, Manikandan Kathirvel, Tommy Ivanics

TOPICS for WG-III

  1. Anesthesia & Hepatology
    • Requirements for 24 Monitoring, pain control, diet advancement, fluid management, ERAS pathway – applications
    • Mandatory protocols – Blood tests (LFTs, lactate) imaging USG-frequency, Triggers for CT
    • Prophylaxis: Antibiotics, DVT, Ulcer—what and for how long
  2. Surgery
  • Management of early complications
  • Biliary – Drain bilirubin, Indications & timing of ERCP Reexploration,
  • Management of Bleed
    • Triggers for reexploration
  • Management of insufficient functional liver remnant – criteria for PHLF, threshold for consideration of LT
  • Management of other serious medical complications: PE, pancreatitis,
  • Standardized post-op disaster plan – Donor mortality

3. Psychiatry & Ethics

  • Timing of Return to work, exercise, driving, sexual health
  • Donors with Post-operative depression or anxiety

Sharing news of poor recipient outcome with donors

WG Chair: Mohamed Rela

Panelists: Zhi-jun Zhu, Elizabeth Pomfret, Avi Soin, Markus Selzner, Jongman Kim, Bijan Eghtesad, Daniel Maluf,  Susan Abbey (psych)(another name), Kym Watt, Anjana Pillai, Sudha Kodali, Paul James (advanced endoscopy), John Roberts, Susumu Eguchi, Albert Chan

VG: Sadhana Shankar, Johns Shaji Mathew, Nicholas Syn

  1. Hepatology & Surgery
  • Defining standard long-term follow-up benchmarks
  • Review protocols- Minimum requirement
    • Mandatory frequency, blood tests, imaging etc.
  • Management of Late Complications
    • Biliary strictures
    • Diaphragmatic Hernia
    • Wound complications
    • Chronic pain
  1. Psychiatry & Ethics
  • Quality of Life, Body Image, Sexual & Reproductive health
  • Long term psychosocial support – suicides, recipient deaths etc
  • Istanbul declaration
  • International LDLT donor registry

Jury:

Jed Gross

Chantal Wiggins

Hiroto Egawa

Nancy Ascher

Valeria Mas

John Fung

Norah Terrault

Kyung Suk-Suh

Chao-Long Chen

Patrizia Burra