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

Largest US Series of Minimally Invasive Full and Laparoscopy-Assisted Living Donor Hepatectomy.

K. Collins, J. Emond, A. Fox, B. Samstein.

Surgery, New York Presbyterian/Columbia University, New York, NY

Meeting: 2017 American Transplant Congress

Abstract number: 368

Keywords: Donation, Laparoscopy, Liver transplantation, Outcome

Session Information

Session Name: Concurrent Session: Liver Living Donors and Partial Grafts

Session Type: Concurrent Session

Date: Monday, May 1, 2017

Session Time: 4:30pm-6:00pm

 Presentation Time: 4:54pm-5:06pm

Location: E451a

Columbia University Medical Center (CUMC) has offered minimally invasive donor hepatectomies since 2008. Donor hepatectomies have been performed using 3 access routes (1) hybrid technique; (2)fully laparoscopic; (3) open with a midline incision and right subcostal extension. The aim of this study is to review and compare the surgical outcomes of donors at CUMC by surgical technique.

Methods: Donors at CUMC were prospectively enrolled in a database. Operations performed between 2008 and 2016 were included based on access to electronic medical records. Data including demographics, intraoperative information, and postoperative complications were compared.

Results: There were no significant differences in donor demographics (see Table 1). Patients had an average length of follow-up of 2.3 years at the time of data analysis.

Full Hybrid Open
Technique (n) 33 97 29
Age (y) 37 (21-53) 39 (20-63) 39 (20-63)
BMI (kg/m2) 24.1 (19.1-31.5) 25.6 (16.2-41.5) 25.5 (19.6-37.7)
Sex, male (%) 52 47 48
Graft Type (n)
Right 2 53 12
Left 7 44 12
LLS 24 0 5
Prior Abdominal Surgery (n) 8 24 11
History of Hernia (n) 8 8 1

There was significantly less blood loss and length of hospitalization for full laparoscopy (4.4 vs 6.1 and 6.4 days). Overall complication rates were equivalent for all three groups (p=.15). There were fewer complications during the follow-up period for full laparoscopic compared to hybrid and open (13%, 41%, and 29%, respectively; p=.03). The most common complications are listed below.

Complication (% patients) Full Hybrid Open p
Blood Transfusion 0 0 3 <.01
Bile Leak 3 11 7 <.01
Biloma 0 5 0 .19
Hernia 0 15 17 .05
Wound Complication 6 13 13 .50
Pain/Nausea/Emesis 15 14 31 .11
Neuropraxia 6 2 14 .80
Ileus 6 8 17 .26

Conclusions: Minimally invasive techniques are associated with decreased morbidity, blood loss, and length of hospitalization for donors. Experience at CUMC suggests non-inferiority has been reached for minimally invasive techniques.

CITATION INFORMATION: Collins K, Emond J, Fox A, Samstein B. Largest US Series of Minimally Invasive Full and Laparoscopy-Assisted Living Donor Hepatectomy. Am J Transplant. 2017;17 (suppl 3).

  • 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:

Collins K, Emond J, Fox A, Samstein B. Largest US Series of Minimally Invasive Full and Laparoscopy-Assisted Living Donor Hepatectomy. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/largest-us-series-of-minimally-invasive-full-and-laparoscopy-assisted-living-donor-hepatectomy/. Accessed June 3, 2025.

« Back to 2017 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