Selection of donor liver in liver transplantation for hepatocellular carcinoma

The shortage of donor liver is the main factor that restricts the development of liver transplantation and the curative effect of liver transplantation for hepatocellular carcinoma (HCC). Previous studies have focused on the selection criteria of recipient, downstaging therapy, immuno-suppressive therapy, etc. In recent years, it has been found that the selection of donor liver significantly inluence tumor recurrence after liver transplantation. The author discusses the main types of clinical liver donors, criteria of liver transplantation for HCC, selection of donor liver in liver transplantation for HCC within indications, selection of donor liver in liver transplantation for HCC beyond indications, and the influences of donor liver selection on the prognosis of liver transplantation for HCC.