PE-119: The First Successful Case of Living Donor Liver Transplanation in Jeju-do

Aims: Jeju-do is far away south from the Korean peninsula. The prevalence of hepatocellular carcinoma (HCC) in Jeju-do is higher than that of the mainland in 2014 because of higher alcohol consumptions and a relatively higher rate of hepatitis B antigen positive. The patients who had unresectable HCC within the Milan criteria couldn’t help going to larger institutions in metropolitan area to undergo liver transplantation. We have prepared for a set-up of living donor liver transplantation in Jeju National University Hospital (JNUH), Jeju-do science March 2014. Recently, we successfully performed the first LDLT in JNUH. Methods: A male patient aged 34 was transferred to our emergency department due to gastric varix bleeding. He underwent endoscopic ligation for gastric varix bleeding, and then HCC was detected during an evaluation. He had chronic hepatitis B liver cirrhosis with HCC. A size of HCC was 4.8 cm in length. A donor aged 23 was male and his maternal cousin. There was no fatty change in the sonographic finding. An estimated remnant liver volume is 34.4% in the CT volumetry. Results: We performed LDLT using right graft. The recipient’s operation time was 421 minutes and the amount of an intraoperative blood loss was 3000 mL and 3 packs of red blood cell were needed to be transfused. Each donor and recipient was discharged in 11 and 19 days respectively without any postoperative episodes. Conclusions: We are pleased to report our first successful case of LDLT in Jeju-do.