LDLT or DDLT in high MELD ‐ which is better?

Hepatology(2020)

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摘要
We read with interest the study by Wong et al. (1) We congratulate the authors for the commendable work. We would like to share our concerns regarding the study. There were a greater number of patients with hepatorenal syndrome (HRS) in the deceased donor liver transplantation (DDLT) group than living donor liver transplantation (LDLT) group. (1) Presence of HRS, even in a low model for end-stage liver disease (MELD) patient, increases the risk of waitlist mortality which may be one of the reasons for higher waitlist mortality in the DDLT group.
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