Organ Transplant

Living Donor Liver Transplantation Using a Reduced Segment Graft Associate Prof. Hiroto EGAWA (Department of Surgery Hepato-Biliary-Transplant Division Organ Transplant Unit Kyoto University)

Highlights of this Course
Organ transplant became clinically available in 1980s along with development of operative skills and immunosuppression, which had been experimental medicine. In Kyoto University, we started living liver transplant program in 1990 and the number of transplantation increased over 1000 cases in 2004 which means the largest and best program in the world. We have also developed living donor small bowel transplant and living donor pancreas islet transplant. A lot of useful information which has been found in our large experience is opened to the world. Many physicians and surgeons visited us from all over the world to learn our skills, knowledge, and philosophy and started new programs at their home hospitals.

Course Description
We present here basic information, clinical data, and forefront of organ transplant.


Graduate School
Faculty of Medicine
Japanese, English
Instructor name
Hiroto EGAWA(Associate Professor, Graduate School of Medicine)
Kouichi KOZAKI(Lecturer, Graduate School of Medicine)

Hiroto Egawa M.D. Ph.D.
Associate Professor
Department of Surgery
Hepato-Biliary-Transplant Division
Organ Transplant Unit
Kyoto University

Liver Transplantation
Transplant Immunology
Epstein-Barr Virus Infection

Professor experienced 1080 cases in 1170 cases of living donor liver transplantation in Kyoto University and participated to all technical and medical innovation from 1989 to 2006. Especially he contributed to establishment of auxiliary orthotropic partial liver transplantation, termination of posttransplant lymphoproliferative disorder using quantitative EBV assessment, establishment of strategy for hepatopulmonary syndrome, disclosure of mechanism and establishment of strategy for biliary complication, and innovation in blood type incompatible liver transplantation. He also dedicates to education for medical students, residents, surgical fellows, and junior transplant surgeons in Kyoto University Hospital.


Schedule and Contents
#1 Indication and donor selection
#2 Surgical aspects in living donor liver transplantation
#3 Rejection and immunosuppression
#4 Infectious complication
#5 Biliary complication
#6 Vascular complication
#7 Liver transplant across ABO blood type barrier
#8 Adult living donor liver transplantation
#9 Living donor liver transplantation for hepatocellular carcinoma
#10 Living donor liver transplantation for viral hepatitis cirrhosis
#11 Living donor liver transplantation for acute liver failure