Table 1. Studies comparing LDLT and DDLT for HCC.
Authors (Year) | Center | Study period | Treatment | n | OS (3 y) (%) | P | RFS (3 y) (%) | P | RR (3 y) (%) | P | Waiting periods (mo) | P | Vascular invasion (%) | P | Poorly differentiated or Edmonson grade 3, 4 (%) | P | Beyond Milan (%) | P |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gondolesi [2004] | Mount Sinai Hospital, USA | 1998–2002 | LDLT | 36 | 60 (2 y) | 0.20 | 74 (2 y) | 0.30 | 17 (5 y) | – | 2.0 | 0.0001 | 58 | – | 17 | – | – | – |
DDLT | 165 | 70 | 83 | – | 14.8 | – | – | – | ||||||||||
Hwang [2005] | Four institutions, Korea | 1992–2002 | LDLT | 237 | 73 | 0.04 | 80 (2 y) | 0.77 | – | – | – | – | 15 | – | 37 | – | 29 | 0.69 |
DDLT | 75 | 61 | 82 | – | – | 11 | 36 | 27 | ||||||||||
Lo* [2007] | Queen Mary Hospital, China | 1995–2004 | LDLT | 43 | 80 | 0.19 | – | – | 29 | 0.03 | 0.9 | <0.0010 | 35 | 0.190 | 19 | 0.46 | 26 | 0.76 |
DDLT | 17 | 94 | – | 0 | 3.5 | 18 | 18 | 29 | ||||||||||
Fisher* [2007] | A2ALL | 1998–2003 | LDLT | 58 | 67 | 0.91 | 58 | 0.38 | 26 | 0.002 | 3.1 | <0.0001 | 22 | 0.170 | 15 | 0.26 | 62 | 0.05 |
DDLT | 34 | 63 | 62 | 0 | 12.0 | 10 | 3 | 41 | ||||||||||
Sotiropoulos [2007] | University Hospital Essen, Germany | 1998–2006 | LDLT | 45 | 63 | 0.17 | – | – | 10 | 0.87 | – | – | – | – | – | – | 49 | 0.70 |
DDLT | 55 | 67 | – | 19 | – | – | – | 55 | ||||||||||
Di Sandro [2009] | Niguarda Ca’ Granda Hospital, Italy | 2000–2007 | LDLT | 25 | 77 | N.S. | 96 | N.S. | 4 | – | 3.5 | 0.0004 | 20 | N.S. | 28 | N.S. | 40 | N.S. |
DDLT | 154 | 83 | 91 | 10 | 13.2 | 14 | 27 | 31 | ||||||||||
Vakili* [2009] | Lahey Clinic Medical Center, USA | 1999–2007 | LDLT | 28 | 81 (5 y) | 0.023 | – | – | 29 | <0.05 | – | – | 46 | – | 10 | – | 25 | – |
DDLT | 74 | 58 | – | 12 | – | – | – | |||||||||||
Li [2010] | West China Hospital, China | 2005–2009 | LDLT | 38 | 53 | 0.57 | 42 | 0.79 | – | – | – | – | 47 | 0.410 | 13 | 0.18 | 79 | 0.22 |
DDLT | 101 | 50 | 41 | 40 | 20 | 68 | ||||||||||||
Bhangui [2011] | Paul Brousse Hospital, France | 2000–2009 | LDLT | 36 | 80 | 0.36 | – | – | 11 | 0.94 | 2.6 | 0.0001 | – | – | – | – | 27 | 0.44 |
DDLT | 120 | 82 | – | 11 | 7.9 | – | – | 21 | ||||||||||
Sandhu [2012] | Tronto General Hospital, Canada | 1996–2009 | LDLT | 58 | 75 | 0.62 | 75 | 0.82 | 11 | 0.54 | 3.1 | 0.0030 | 28 | 0.96 | 5.8 | 0.10 | 58 | 0.33 |
DDLT | 287 | 80 | 75 | 15 | 5.3 | 29 | 14.2 | 51 | ||||||||||
Kulik* [2012] | A2ALL | 1998–2010 | LDLT | 100 | 59 (5 y) | 0.27 | 66 | 0.05 | 38 (5 y) | 0.0004 | – | – | 23 | 0.066 | 16 | 0.97 | 56 | 0.0003 |
DDLT | 97 | 66 | 81 | 11 | – | 12 | 19 | 45 | ||||||||||
Park* [2014] | Seoul National University, Samsung Medical Center, Korea | 1999–2010 | LDLT | 166 | – | – | 81 | 0.044 | – | – | – | – | 18 | 0.038 | 45 | 0.18 | – | – |
DDLT | 50 | – | 94 | – | – | 6 | 34 | – | ||||||||||
Ninomiya [2015] | Kyusyu University, Japan; Mount Sinai Hospital, USA | 2002–2010 | LDLT | 133 | 87 | <0.0001 | – | – | 14 | 0.64 | 1.4 | <0.0001 | 40 | 0.920 | 29 | <0.0001 | 41 | 0.16 |
DDLT | 362 | 73 | – | 14 | 6.3 | 40 | 10 | 34 | ||||||||||
Chen [2015] | West China Hospital, China | 2005–2013 | LDLT | 75 | 68 | 0.51 | 71 | 0.86 | – | – | 0.8 | <0.0010 | 41 | 0.140 | 12 | 0.69 | 48 | – |
DDLT | 180 | 71 | 73 | – | 1.5 | 31 | 16 | 44 | ||||||||||
Zhenhua [2015] | China Liver Transplant Registry, China | 1999–2009 | LDLT | 389 | 70 | <0.01 | 64 | <0.01 | – | – | – | – | – | – | – | – | – | – |
DDLT | 6,471 | 54 | 49 | – | – | – | – | – |
*, studies supporting higher HCC recurrence in LDLT. LDLT, living donor liver transplantation; DDLT, deceased donor liver transplantation; HCC, hepatocellular carcinoma; OS, overall survival; RFS, recurrent-free survival; RR, recurrence rate; A2ALL, Adult-to-Adult Living Donor Liver transplantation Cohort Study; N.S., not significant.