ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

130 Totally Robotic Donor Hepatectomy: Reproducibility Of A Standardized Technique Across 2 Specialized Centers

Y. Cheah1, H. Yang2, C. J. Simon1, J. Kim3, M. Akoad3, G. Choi2

1Roger L Jenkins Transplant Institute, Lahey Hospital & Medical Center, Burlington, MA, 2Division of HPB Surgery, Yonsei University College of Medicine, Seoul, Korea, Republic of, 3Lahey Hospital & Medical Center, Burlington, MA

Meeting: 2022 American Transplant Congress

Abstract number: 9020

Keywords: Liver transplantation, Living donor, Surgery

Topic: Clinical Science » Liver » 57 - Liver: Surgery Innovative Techniques*

Session Information

Session Name: Late Breaking: Clinical

Session Type: Rapid Fire Oral Abstract

Date: Sunday, June 5, 2022

Session Time: 3:30pm-5:00pm

 Presentation Time: 4:40pm-4:50pm

Location: Hynes Room 313

*Purpose: Robotic surgery is emerging as a feasible though complex technique to enable minimally-invasive donor hepatectomy.

*Methods: First multicenter prospective study on 130 consecutive totally robotic donor hepatectomies (2016-2021) using a standardized technique in 2 liver transplantation centers with experience and expertise in both living donor and robotic surgery. Donor demographic, operative and outcome data were collected. Standardization of surgical technique were ensured with initial in-person training and proctoring, followed by regular video analysis.

*Results: We performed 115 right (RH), 7 left and 8 left lateral segment robotic donor hepatectomy procedures. Average donor age 33, and weight 64.8kg. Majority of RH grafts had a single artery (99.1%), portal vein (89.6%) and bile duct (69.6%) for anastomoses. Most common arterial and bile duct anatomies were standard (88.7%) and Type 1 (74.8%; Korean classification) respectively. Average RH operative duration was 468mins; both centers showed improvement in this metric with experience (Fig1).

Average RH EBL was 127mls; 3 donors were transfused. No cases were converted to open or laparoscopic approach. There was significant difference in RH graft weights between the 2 centers (Fig2).

Majority of donors were started on solid diet on POD#1. Average highest recorded post-RH total bilirubin and INR were 2.6mg/dL and 1.4 respectively. Most common RH complications were bile leak (4.3%) and bleeding (2.6%). Rate of serious complications (Clavien ≥3) was 7.0% with zero mortality. There was no difference in overall or serious complication rates between the 2 centers.

*Conclusions: Our standardized technique for totally robotic donor hepatectomy, though complex and relatively novel, can be reproduced in another specialized robotic transplantation center with appropriate training, regular evaluation of surgical technique, prospective monitoring of outcomes and utmost attention to donor safety.

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Cheah Y, Yang H, Simon CJ, Kim J, Akoad M, Choi G. 130 Totally Robotic Donor Hepatectomy: Reproducibility Of A Standardized Technique Across 2 Specialized Centers [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/130-totally-robotic-donor-hepatectomy-reproducibility-of-a-standardized-technique-across-2-specialized-centers/. Accessed May 31, 2025.

« Back to 2022 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences