Abstract
Introduction: While advanced age was once a contraindication for liver transplantation, it is now routinely performed for individuals over (≥) 65. This study aimed to analyze preoperative findings, preoperative findings, perioperative graft-related and surgical factors, and postoperative complications in geriatric recipients (≥65 years) to assess the feasibility and outcomes of living-donor liver transplantation in this age group. Materials and Method: Data regarding sex, model for end-stage liver disease score, Child score, body mass index, blood type, graft type (right or left lobe), ascites, esophageal variceal hemorrhage, hepatic encephalopathy, spontaneous bacterial peritonitis, preoperative INR, platelet, sodium, albumin, total bilirubin and creatinine, diabetes, hypertension, coronary artery disease, anhepatic phase, cold ischemia time, operation time, blood products transfusion rates, graft-to-recipient weight ratio, intensive care unit and hospital stay, biliary complications, hepatic vein thrombosis, portal vein thrombosis, postoperative hemorrhage, sepsis, and primary graft dysfunction were analyzed statistically in geriatric patients. Results: The use of the right lobe was significantly higher in the ≥65 age group (p=0.036). Additionally, body mass index (p=0.039) and creatinine (p=0.018) were statistically higher in the group. Conclusion: Living-donor liver transplantation can be safely performed in patients aged ≥65 years. Keywords: Liver; Survival; Transplantation.