Date: Monday, May 1, 2017
Session Time: 4:30pm-6:00pm
Presentation Time: 4:54pm-5:06pm
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.
|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)|
|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|
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).
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 April 23, 2021.
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