Initial Experience of the First 13 Cases of Purely Laparoscopic Living Donor Right Hepatectomy
1Department of Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, Republic of, 2Department of Surgery, Bucheon St. Mary’s Hospital, The Catholic University of Korea, Bucheon, Korea, Republic of
Meeting: 2020 American Transplant Congress
Abstract number: C-158
Keywords: Liver transplantation, Living-related liver donors
Session Information
Session Name: Poster Session C: 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: Laparoscopic major hepatectomy is gradually increasing with two consensus meetings. However, purely laparoscopic donor right hepatectomy (PLDRH) is still being performed carefully, because donor safety and quality grafts must be obtained. Herein, we report our Initial experience of the first 13 cases of PLDRH.
*Methods: From March 2019 to November 2019, 37 patients underwent donor right hepatectomy except for 5 patients who used left graft. Thirteen of them underwent PLDRH. PLDRH was performed using flexible scope and 5 ports. We retrospectively reviewed 13 cases of PLDRH.
*Results: Their mean age was 39.5 ± 15.5 years and 6 (46.2%) were female. The average BMI was 23.1 (19.1~25.4) and the average graft volume was 797.7 (608~1300) mL. The mean graft steatosis was 2.8%. There was no patient with portal vein variation, but duct variation was found in 4 patients. The average operation time was 330.2 (250~380) minutes and the time from hepatic artery clamping to graft out was 20.2 (12~31) minutes. There was no intraoperative transfusion and no open conversion in all patients. The average hospital stay was 10.5 days after surgery. There was no surgical complication or re-admission. Recipients also recovered well and there was a bile leak in one patient of the recipients.
*Conclusions: PLDRH still remains a challenging procedure requiring important experiences in both laparoscopic liver surgery and open living donor right hepatectomy. However, once we get used to both, we can try PLDRH.
To cite this abstract in AMA style:
Choi H, Seo C, Ahn J, Na G, You Y. Initial Experience of the First 13 Cases of Purely Laparoscopic Living Donor Right Hepatectomy [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/initial-experience-of-the-first-13-cases-of-purely-laparoscopic-living-donor-right-hepatectomy/. Accessed November 21, 2024.« Back to 2020 American Transplant Congress