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Laparoscopic Donor Hepatectomy for Adult Living Donor Liver Transplantation Recipients
- Source :
- Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society. 24(11)
- Publication Year :
- 2018
-
Abstract
- Even after 2 decades of experience in laparoscopic hepatectomy, data on purely laparoscopic approach for donor hepatectomy in adult living donor liver transplantation (LDLT) are limited. We report our initial experience of a purely laparoscopic approach for donor hepatectomy for adult recipients to explore its potential application in the management of donors. We did a retrospective data analysis of 54 consecutive patients operated on between May 2013 and February 2015. There were 41 right, 10 extended right, and 3 left hepatectomies. The median operative time was 436 minutes (range 294-684 minutes), and warm ischemia time was 6 minutes (2-12 minutes). Estimated blood loss was 300 mL (10-850 mL), and none of the patients required intraoperative transfusion. Four cases were converted to open laparotomy. The major complication rate was 16.7%, and biliary complication was the most frequent cause. Patients with normal anatomy had a major complication rate of 9.3% as compared with 45.5% in patients with anatomic variations. All patients recovered, and there was no mortality. In conclusion, a purely laparoscopic donor hepatectomy for adult LDLT recipients seems to be a feasible option; with careful patient selection and when performed by experienced surgeons, it may afford results comparable to the open method.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Operative Time
030230 surgery
Liver transplantation
Transplant Donor Site
End Stage Liver Disease
03 medical and health sciences
Young Adult
0302 clinical medicine
Postoperative Complications
Laparotomy
Living Donors
Medicine
Hepatectomy
Humans
Warm Ischemia
Young adult
Retrospective Studies
Donor hepatectomy
Transplantation
Hepatology
Warm Ischemia Time
business.industry
Age Factors
Anatomic Variation
Retrospective cohort study
Middle Aged
Surgery
Liver Transplantation
Treatment Outcome
Liver
Tissue and Organ Harvesting
Operative time
Feasibility Studies
030211 gastroenterology & hepatology
Female
Laparoscopy
business
Living donor liver transplantation
Subjects
Details
- ISSN :
- 15276473
- Volume :
- 24
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
- Accession number :
- edsair.doi.dedup.....4ce5b8b45655920cfbe9b815076ff188