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

Initial Case Series of Pure Laparoscopic Donor Hepatectomy in Cleveland Clinic

K. Sasaki, F. Aucejo, M. Fujiki, T. Diago Uso, B. Eghtesad, C. MIller, C. Quintini, K. Hashimoto, C. D. Kwon

Cleveland Clinic Foundation, Cleveland, OH

Meeting: 2020 American Transplant Congress

Abstract number: D-120

Keywords: Laparoscopy, Living donor

Session Information

Session Name: Poster Session D: Liver: Living Donors and Partial Grafts

Session Type: Poster Session

Date: Saturday, May 30, 2020

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

*Purpose: Techniques for laparoscopic liver resection (LLR) have been developed over the two decades, and its advantage in less postoperative pain and early recovery are widely accepted. Although the benefits of LLR are most suitable in the living donor hepatectomy, adoption of LLR to living donor hepatectomy has been restricted, especially in the United States, due to concerns about donor safety. This study aimed to report our initial experience of laparoscopic living donor hepatectomy (LDH) in Cleveland Clinic.

*Methods: Between August 1, 2019, and December 6, 2019, 11 living donor hepatectomy were performed. Among the 11 cases, 9 LDH were performed (81.8%). All cases were performed by standardized approach. The donor was placed in a supine position with the surgeon between the legs. First assistant and the scopist stood on the left side of the donor. Four 12mm trocars and one 5mm trocar were placed according to patient body size and liver cutting plane. A 10 mm flexible 3-D scope was used. Liver parenchymal transection was performed using an ultrasonic dissector and ultrasonic aspirator. Bipolar forceps and sealer were used for hemostasis. The major vessels were transected using a vascular stapler. Bile duct transection line was decided based on Indocyanine green fluorescence imaging. Liver graft was extracted from Pfannenstiel incision. The donor characteristics, intraoperative data, and postoperative outcomes were summarized.

*Results: Among the 9 cases of LDH, 7 cases were full left lobe with caudate lobe graft, 1 case was right lobe graft, and 1 case was left lateral segment graft. The detail data of each case are shown in Table 1. No case required blood transfusion nor open conversion. One out of nine donors had a postoperative complication (surgical wound infection). All donors were discharged within POD 6.

*Conclusions: The indication of laparoscopic approach and surgical video with detail procedures will be presented.

 border=

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Sasaki K, Aucejo F, Fujiki M, Uso TDiago, Eghtesad B, MIller C, Quintini C, Hashimoto K, Kwon CD. Initial Case Series of Pure Laparoscopic Donor Hepatectomy in Cleveland Clinic [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/initial-case-series-of-pure-laparoscopic-donor-hepatectomy-in-cleveland-clinic/. Accessed May 10, 2025.

« Back to 2020 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