Concepedia

Concept

liver transplantation

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26.5K

Publications

1.3M

Citations

96.5K

Authors

7.7K

Institutions

Foundational Liver Transplantation

1947 - 1976

During this formative period, liver transplantation transitioned from animal experiments to the first human orthotopic grafts, catalyzing rapid advances in surgical technique, graft perfusion, and postoperative care. Research emphasized feasibility and translational pathways, anchored by early case reports and foundational studies of graft vascularization from animal models to humans. A central thread was the emergence of graft rejection as a major challenge, driving early immunosuppressive experimentation and the exploration of retransplantation and regenerative biology to support graft viability. Widespread use of canine models and early xenotransplant concepts provided the experimental substrate for testing graft survival and immunologic responses, while studies of liver circulation and donor management framed selection and monitoring strategies. Historical Significance: The era established the feasibility of clinical liver transplantation and set the stage for surgical standardization, donor evaluation, and long-term immunosuppression. Foundational anatomical and physiological insights into hepatic vascularization informed graft integration and organ perfusion, underpinning subsequent improvements in outcomes and indications. The period's cross-species comparisons and early xenotransplant ideas laid essential groundwork for understanding immune rejection and guided the trajectory of later transplantation science.

Evolution of surgical technique and clinical translation from animal models to human orthotopic liver transplants, highlighting technique, organization, and case reports [8], [13], [15], [18].

Graft rejection and immune response emerged as central challenges, driving comparative dog–human studies and graft viability investigations across early publications [1], [4], [15].

Widespread reliance on canine models and early xenotransplantation work established foundational models for graft survival, vascularization, and immunological testing in liver transplantation [2], [3], [17].

Regenerative biology and cellular-level studies provided the mechanistic basis for retransplantation and graft viability, including liver regeneration, hepatocyte biology, and isolated liver cell models [6], [9], [10], [16].

Physiological understanding of liver circulation, disease states, and organ system interactions framed donor selection, monitoring, and management in transplantation contexts [7], [11], [12], [19].

Cyclosporin-Driven Liver Transplantation

1977 - 1987

Reduced-Size Graft Expansion

1988 - 1994

Living Donor Transplant Expansion

1995 - 2001

MELD-Based Allocation

2002 - 2008

Prognostic Allocation Optimization

2009 - 2015

Systemic-Driven Transplant Optimization

2016 - 2023